AANA19 Shoulder Access Pass-Questions and Answers_ Symposium_ Grand Debate - The Massive Cuff Tear-Dr. Aman Dhawan, M.D.

Questions and Answers_ Symposium_ Grand Debate - The Massive Cuff Tear-Dr. Aman Dhawan, M.D.

Video Transcription

Video Summary

The panel discussed revision techniques for massive rotator cuff repairs in younger patients, emphasizing careful repair, superior capsule reconstruction (SCR), and strategies to manage bone cysts like grafting, stacked screws, or osteofil fillers. They highlighted adjusting anchor placement for bone quality and checking for infections like P-acnes. On reverse total shoulder replacements, they favor repairing the subscapularis tendon to improve outcomes, using a suture bridge technique and immobilizing patients for four weeks with early home exercises, as reverse systems constrain movement and may promote better tendon healing compared to anatomic replacements.

Keywords

massive rotator cuff repair

superior capsule reconstruction

bone cyst management

reverse total shoulder replacement

subscapularis tendon repair