AANA Shoulder Arthroscopy - August 2024-Revision Rotator Cuff Repair

Revision Rotator Cuff Repair_ Bone and Soft Tissue Considerations

Video Transcription

Video Summary

This talk addresses the complexities of revision rotator cuff repair, emphasizing causes of failure including diagnostic and technical errors, complications, and healing issues. Successful revision requires thorough patient evaluation and proper indication. Key techniques include correcting motion loss via capsular release, thorough debridement, mobilizing rotator cuff tissue, medializing the footprint to reduce tension, and using grafts such as the biceps tendon or bioinductive patches. Addressing concurrent pain sources like the biceps or distal clavicle is also important. Despite challenges like scarring and poor tissue quality, careful surgical planning and technique can yield significant functional improvements in revision cases.

Asset Caption

Larry Field, MD

Keywords

revision rotator cuff repair

diagnostic and technical errors

capsular release

medializing footprint

biceps tendon graft