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Large Rotator Cuff Tears: Repair, Release, Patch, ...
Questions and Answers_ Large Rotator Cuff Tears_ ...
Questions and Answers_ Large Rotator Cuff Tears_ Repair, Release, Patch, SCR, Reverse_ A Case-Based Symposium
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Video Transcription
Video Summary
In this discussion on shoulder surgery, Pat and Ian emphasize the importance of patient age and condition in choosing treatment. Older patients with pseudoparalysis typically need reverse shoulder replacements, while younger patients require attempts at cuff repair. Ian highlights advancements in Superior Capsular Reconstruction (SCR), preferring thicker fascia lata autografts over human dermal allografts, often doubling grafts for strength. Repairing the subscapularis and infraspinatus is critical to success. Graft tensioning is usually done at 30-40 degrees of arm abduction. The conversation underscores evolving techniques to optimize outcomes in complex rotator cuff repairs.
Asset Caption
Dr. Ian Lo | Dr. Patrick St. Pierre | Dr. Joseph Tauro
Keywords
shoulder surgery
reverse shoulder replacement
Superior Capsular Reconstruction
fascia lata autograft
rotator cuff repair
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