2024 AANA/ISAKOS Specialty Day All-Access Pass-55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis Discussion & Voting

55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis Discussion & Voting

Video Transcription

Video Summary

The discussion contrasts dermal graft superior capsular reconstruction (SCR) in North America with fascia lata autograft SCR in Asia, noting better healing and biomechanical outcomes with fascia lata. Subscapularis repair and inferior capsular release are emphasized to improve healing in massive rotator cuff tears. Techniques like biceps usage, microfracture, and graft augmentation aid restoration. Healing of autograft fascia lata is shown to involve remodeling and cartilage regeneration, unlike dermal grafts. Allografts can heal if healthy tissue is applied to healthy bone, whereas degenerated native cuff tissue is less amenable. Overall, fascia lata autograft SCR is preferred for better long-term success.

Keywords

fascia lata autograft

superior capsular reconstruction

rotator cuff tears

subscapularis repair

graft healing