AANA19 Shoulder Access Pass-Massive Cuff Role of Latissimus Dorsi Transfer - Featured Lecture-Dr. Daniel Aldolfo Slullitel, M.D.

Massive Cuff Role of Latissimus Dorsi Transfer - Featured Lecture-Dr. Daniel Aldolfo Slullitel, M.D.

Video Transcription

Video Summary

The speaker discusses improving outcomes in massive rotator cuff repairs by augmenting with latissimus dorsi tendon transfer rather than relying solely on repair or other techniques like superior capsular repair. They propose combining standard rotator cuff repair with latissimus dorsi augmentation, placing the transferred tendon atop the repaired cuff. The approach aims to enhance strength and durability, addressing limitations like external rotation weakness from latissimus transfer alone. Patients are trained preoperatively to activate the latissimus in its new position. Long-term follow-up (up to 8 years) shows promising functional results, suggesting this combined method may improve lasting repair success.

Keywords

rotator cuff repair

latissimus dorsi tendon transfer

augmentation technique

shoulder external rotation

long-term functional outcomes