Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium (2021 Annual Meeting)-Large Rotator Cuff Tears_ Repair, Release, Patch, SCR, Reverse

Large Rotator Cuff Tears_ Repair, Release, Patch, SCR, Reverse_ A Case-Based Symposium-Lo

Video Transcription

Video Summary

The presentation discusses the use of grafts in rotator cuff repair, focusing on their biomechanical and biological benefits, especially in chronic, large, or revision tears with poor tissue quality. Grafts enhance repair strength and support cellular ingrowth, improving healing rates. Augmentation grafts are used in large, repairable tears to increase repair success, while bridging grafts apply to irreparable tears without lag signs. Superior capsule reconstruction (SCR) is recommended for irreparable tears with significant proximal humeral migration but intact subscapularis. Clinical outcomes vary by graft type; fascia lata may offer better biomechanical properties than human dermal allograft. Comparative studies show similar outcomes for bridging grafts and SCRs at two years, with healing dependent on subscapularis and posterior cuff integrity. The speaker emphasizes the need for more research to clarify graft indications and optimal techniques but presents an algorithm to guide graft use in primary, revision, and irreparable rotator cuff tears.

Asset Caption

Dr. Ian K.Y. Lo

Keywords

rotator cuff repair

grafts

biomechanical benefits

biological benefits

superior capsule reconstruction

clinical outcomes