PMID- 34370112
OWN - NLM
STAT- MEDLINE
DCOM- 20220715
LR  - 20220715
IS  - 1432-1068 (Electronic)
IS  - 1633-8065 (Linking)
VI  - 32
IP  - 6
DP  - 2022 Aug
TI  - Clinical outcomes of latissimus dorsi tendon transfer and superior capsular 
      reconstruction for irreparable rotator cuff tears: a systematic review.
PG  - 1023-1043
LID - 10.1007/s00590-021-03046-5 [doi]
AB  - BACKGROUND: Functionally irreparable rotator cuff tears (FIRCTs) present an 
      ongoing challenge to the orthopedic surgeon. The aim of this systematic review 
      was to critically compare the outcomes of three latissimus dorsi tendon transfer 
      (LDT) techniques and two superior capsular reconstruction (SCR) techniques in 
      treatment of FIRCTs. METHODS: A systematic review of studies evaluating the 
      outcome of FIRCT treatment was performed via a search of four databases in April 
      2020. Each included study was reviewed in duplicate by two reviewers for 
      evaluation of methodological quality. The treatments analyzed were arthroscopic 
      LDT (aLDT), open LDT Gerber technique (oLDTG), open LDT L'Episcopo technique 
      (oLDTL), SCR with allograft (SCR-Allo), and SCR with autograft (SCR-TFL). 
      Demographics, range of motion, patient-reported outcome measures, radiographic 
      acromiohumeral distance (AHD), treatment failures, and revisions were recorded. 
      RESULTS: Forty-six studies (1287 shoulders) met criteria for inclusion. 
      Twenty-three studies involved open latissimus transfer, with 445 shoulders 
      undergoing oLDTG with mean follow-up of 63.2 months and 60 patients undergoing 
      oLDTL with mean follow-up of 51.8 months. Ten studies (n = 369, F/U 29.2mo) 
      reported on aLDT. Seven studies (n = 253, F/U 16.9mo) concerned SCR-Allo, and six 
      studies (n = 160, F/U 32.mo) reported on SCR-TFL. Range of motion and subjective 
      outcome scores improved in all techniques with no differences across treatments. 
      Both SCR methods provided greater improvement in AHD than open LDT methods 
      (p < 0.01). The re-tear rates were lower in both oLDT groups compared to the SCR 
      groups (p = 0.03). Clinical failure rates were higher in the SCR-Allo and oLDTG 
      groups, while overall treatment failures were lowest in oLDTL compared to all 
      four other groups. CONCLUSION: SCR techniques were associated with improved 
      short-term radiographic acromiohumeral distance, while the open LDT techniques 
      had lower tendon re-tear and treatment failure rates. All techniques resulted in 
      improved clinical outcomes and pain relief compared to preoperative levels with 
      no differences across techniques. LEVEL OF EVIDENCE IV: Systematic review of case 
      series and cohort studies.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, 
      part of Springer Nature.
FAU - Broida, Samuel E
AU  - Broida SE
AD  - Department of Orthopaedic Surgery, Emory University, 59 S Executive Park NW, 
      Atlanta, GA, 30329, USA.
FAU - Sweeney, Aidan P
AU  - Sweeney AP
AD  - Department of Orthopaedic Surgery, Emory University, 59 S Executive Park NW, 
      Atlanta, GA, 30329, USA.
FAU - Gottschalk, Michael B
AU  - Gottschalk MB
AD  - Department of Orthopaedic Surgery, Emory University, 59 S Executive Park NW, 
      Atlanta, GA, 30329, USA.
FAU - Woodmass, Jarret M
AU  - Woodmass JM
AD  - Department of Orthopaedic Surgery, PanAm Clinic, University of Manitoba, 
      Winnipeg, Canada.
FAU - Wagner, Eric R
AU  - Wagner ER
AUID- ORCID: 0000-0002-4192-4133
AD  - Department of Orthopaedic Surgery, Emory University, 59 S Executive Park NW, 
      Atlanta, GA, 30329, USA. eric.r.wagner@emory.edu.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20210809
PL  - France
TA  - Eur J Orthop Surg Traumatol
JT  - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
JID - 9518037
SB  - IM
MH  - Arthroscopy/methods
MH  - Humans
MH  - Range of Motion, Articular
MH  - *Rotator Cuff Injuries/surgery
MH  - *Shoulder Joint/surgery
MH  - *Superficial Back Muscles
MH  - Tendon Transfer/methods
MH  - Tendons
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Irreparable rotator cuff tear
OT  - Latissimus dorsi transfer
OT  - Massive rotator cuff tear
OT  - Shoulder arthroscopy
OT  - Superior capsular reconstruction
OT  - Tendon transfer
EDAT- 2021/08/10 06:00
MHDA- 2022/07/16 06:00
CRDT- 2021/08/09 12:28
PHST- 2021/02/28 00:00 [received]
PHST- 2021/04/25 00:00 [accepted]
PHST- 2021/08/10 06:00 [pubmed]
PHST- 2022/07/16 06:00 [medline]
PHST- 2021/08/09 12:28 [entrez]
AID - 10.1007/s00590-021-03046-5 [pii]
AID - 10.1007/s00590-021-03046-5 [doi]
PST - ppublish
SO  - Eur J Orthop Surg Traumatol. 2022 Aug;32(6):1023-1043. doi: 
      10.1007/s00590-021-03046-5. Epub 2021 Aug 9.