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

Questions and Answers_ Large Rotator Cuff Tears_ Repair, Release, Patch, SCR, Reverse_ A Case-Based Symposium

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