AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-SCR

SCR_ How to do it to Optimize Outcomes

Video Transcription

Video Summary

Dr. Patrick Denard discusses optimizing superior capsular reconstruction (SCR) for rotator cuff repair, emphasizing proper patient selection: ideal candidates are under 70 with minimal arthritis, advanced atrophy, and a repairable subscapularis tendon. Contraindications include severe external rotation loss and arthritis. His evolved surgical technique uses three independent medial glenoid anchors with knotless fixation, precise graft sizing considering glenoid curvature, and meticulous suture management. He advocates repairing the cuff over the graft and cautious rehab, delaying strengthening until four months to ensure graft integration and avoid failure. Respecting indications is crucial for successful outcomes.

Keywords

superior capsular reconstruction

rotator cuff repair

patient selection criteria

knotless fixation technique

rehabilitation protocol