AANA Shoulder Arthroscopy - August 2024-SCR_ Is it That Much Better than a Bridging Graft

SCR_ Is it That Much Better than a Bridging Graft_

Video Transcription

Video Summary

This talk discusses superior capsule reconstruction (SCR) versus bridging grafts for massive irreparable rotator cuff tears. Invented by Mihata, SCR restores superior capsule stability by grafting from the glenoid to humerus, showing excellent clinical outcomes, especially with fascia lata autografts. However, US studies using human dermal allografts report lower graft healing rates and varied success, linked to factors like subscapularis integrity. Partial repairs and bridging grafts also improve function, with some meta-analyses favoring bridging grafts for better pain relief and motion. Differences in patient selection and graft type complicate comparisons. More randomized controlled trials are needed to define optimal treatment.

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Ian K.Y. Lo, MD

Keywords

superior capsule reconstruction

bridging grafts

massive irreparable rotator cuff tears

fascia lata autografts

graft healing rates