Controversies in the Use of Grafts and Patches for Rotator Cuff Surgery: Augmentation, Interposition, Superior Capsule Reconstruction and Bio-inductive Scaffolds (AANA19)-Massive Cuff Repair vs Augmented Lat Dorsi Repair-Dr. Daniel Aldolfo Slullitel, M.D.

Massive Cuff Repair vs Augmented Lat Dorsi Repair-Dr. Daniel Aldolfo Slullitel, M.D.

Video Transcription

Video Summary

The speaker discusses an advanced surgical technique for massive rotator cuff tears involving a standard cuff repair augmented with a latissimus dorsi transfer placed on top. Traditional repairs often fail structurally despite good outcomes, so augmenting with latissimus dorsi provides stronger, more durable repairs and quicker functional recovery. The latissimus dorsi tendon is carefully harvested and affixed over a double-row cuff repair, enhancing shoulder strength and motion, especially in younger, active patients with long-standing tears. Early results show improved stability and longevity compared to isolated repairs. The speaker emphasizes patient selection, surgical efficiency with a skilled team, and ongoing evaluation of long-term outcomes.

Keywords

massive rotator cuff tears

latissimus dorsi transfer

double-row cuff repair

shoulder strength enhancement

surgical technique augmentation