PMID- 36924836
OWN - NLM
STAT- MEDLINE
DCOM- 20230705
LR  - 20230705
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 8
DP  - 2023 Aug
TI  - Arthroscopic Superior Capsule Reconstruction With Combined Fascia Lata Autograft 
      and Synthetic Scaffold Patch Graft for the Treatment of Irreparable Rotator Cuff 
      Tears Yields Favorable Clinical and Radiographic Outcomes at Minimum 2-Year 
      Follow-Up.
PG  - 1800-1810
LID - S0749-8063(23)00236-0 [pii]
LID - 10.1016/j.arthro.2023.02.025 [doi]
AB  - PURPOSE: To report the results of the arthroscopic superior capsule 
      reconstruction (ASCR) technique with a combined fascia lata autograft and 
      synthetic scaffold patch graft for irreparable massive rotator cuff tears (RCTs). 
      METHODS: The period for this retrospective study was between December 2016 and 
      December 2020. The criteria for inclusion were patients treated arthroscopically 
      for an incompletely repaired massive RCT (dimension >5 cm and 2 tendons fully 
      torn, intact or reparable subscapularis tendons and teres minor tendon with or 
      without irreparable infraspinatus, a radiological Hamada classification between 
      grade 0 and 4, and a minimum 24-month postoperative follow-up). Clinical outcomes 
      were evaluated preoperatively and at a final follow-up by a visual analog scale 
      (VAS) for pain and range of motion along with the American Shoulder and Elbow 
      Surgeons score (ASES), the University of California Los Angeles score (UCLA), and 
      the Constant-Murley score (CMS). Radiological outcomes were assessed, according 
      to the rotator cuff arthropathy (RCA) and the acromiohumeral distance (AHD) 
      stages. Graft integrity and muscle fatty infiltration were evaluated by magnetic 
      resonance imaging (MRI). RESULTS: A total of 43 patients were enrolled in the 
      study with a mean follow-up duration of 45.6 months (range: 24 to 64). All 
      clinical scores also improved at the 2-year follow-up (mean: VAS 0.7 [SD 0.7] vs 
      5.4 [SD 1.1]; P < .001; mean: ASES 92.6 [SD 8.0] vs 34.8 [SD 13.4]; P < .001; 
      mean UCLA 31.5 [SD 3.9] vs 11.0 [SD 3.2]; P < .001; and mean CMS 86.6 [SD 7.2] vs 
      40.0 [SD 11.6]; P < .001), and 39 of 43 fascia lata grafts were fully intact on 
      MRI (91%). CONCLUSIONS: ASCR with a combined fascia lata autograft and synthetic 
      scaffold patch graft resulted in good functional outcomes, with a high rate of 
      graft healing at the 2-year follow-up. All patients achieved clinically relevant 
      improvement (met minimal clinically important differences [MCID]) on ASES, UCLA, 
      and VAS with improved abduction strength restoration. LEVEL OF EVIDENCE: Level 
      IV, retrospective case series.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Bi, Mingguang
AU  - Bi M
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China.
FAU - Ding, Wei
AU  - Ding W
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China.
FAU - Zheng, Minzhe
AU  - Zheng M
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China.
FAU - Peng, Zhaoxiang
AU  - Peng Z
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China.
FAU - Li, Jin
AU  - Li J
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China.
FAU - Ding, Shaohua
AU  - Ding S
AD  - Department of Orthopedics, the Affiliated Lihuili Hospital, Ningbo University, 
      Ningbo City, People's Republic of China. Electronic address: lhldsh_vip@126.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230315
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2023 Aug;39(8):1811-1814. PMID: 37400167
MH  - Humans
MH  - *Rotator Cuff Injuries/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Autografts
MH  - Fascia Lata/transplantation
MH  - *Shoulder Joint/surgery
MH  - Retrospective Studies
MH  - Arthroscopy/methods
MH  - Treatment Outcome
MH  - Range of Motion, Articular/physiology
EDAT- 2023/03/17 06:00
MHDA- 2023/07/05 06:42
CRDT- 2023/03/16 20:29
PHST- 2022/12/26 00:00 [received]
PHST- 2023/01/16 00:00 [revised]
PHST- 2023/02/14 00:00 [accepted]
PHST- 2023/07/05 06:42 [medline]
PHST- 2023/03/17 06:00 [pubmed]
PHST- 2023/03/16 20:29 [entrez]
AID - S0749-8063(23)00236-0 [pii]
AID - 10.1016/j.arthro.2023.02.025 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Aug;39(8):1800-1810. doi: 10.1016/j.arthro.2023.02.025. Epub 
      2023 Mar 15.