AANA Shoulder Arthroscopy - August 2024-SCR_ How to do it to Optimize Outcomes

SCR_ How to do it to Optimize Outcomes

Video Transcription

Video Summary

Patrick Denard discusses optimizing superior capsular reconstruction (SCR) for rotator cuff tears, emphasizing proper patient selection: ideally younger than 70, minimal arthritis, advanced muscle atrophy, and an intact or repairable subscapularis. He recommends three independent medial glenoid anchors for better fixation, accurate graft sizing accounting for glenoid curvature, meticulous suture management, and repairing the cuff over the graft when possible. Denard advises cautious rehabilitation with sling use for six weeks, delayed strengthening, and avoiding heavy activity until six months to support graft healing. The key takeaway is respecting indications to achieve the best surgical outcomes.

Asset Caption

Patrick Denard, MD

Keywords

superior capsular reconstruction

rotator cuff tears

patient selection criteria

medial glenoid anchors

postoperative rehabilitation