Arthroscopic assistance of latissimus dorsi tendon transposition for the treatment of unrepairable rotator cuff tear.
10.12200/j.issn.1003-0034.2023.12.009
- Author:
Guang XU
1
,
2
;
Xue-Wu SUN
3
;
Jian CHEN
3
;
Bei-Hao GU
3
;
Zhi-Jie ZHOU
3
;
Pei-Hua SHI
3
Author Information
1. Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, China
2. Department of Orthopaedics, Jiangshan People's Hospital, Jiangshan Branch of Sir Run Run Shaw Hoppital, Zhejiang Univesity School of Medicine, Jiangshan 324100, Zhejiang, China.
3. Department of Orthopaedics, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopic surgery;
Irreparable rotator cuff tears;
Latissimus dorsi tendon transposition;
Surgical technique
- MeSH:
Male;
Female;
Humans;
Middle Aged;
Aged;
Aged, 80 and over;
Rotator Cuff Injuries/surgery*;
Superficial Back Muscles;
Rotator Cuff;
Treatment Outcome;
Shoulder Joint/surgery*;
Tendon Transfer;
Arthroscopy;
Range of Motion, Articular/physiology*
- From:
China Journal of Orthopaedics and Traumatology
2023;36(12):1153-1158
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical effect of arthroscopy-assisted rotator cuff tendon transfer in treating irreparable rotator cuff tears (IRCT).
METHODS:From May 2015 to May 2018, 23 patients with unrepairable rotator cuff tears were treated with arthroscopy-assisted rotator cuff tendon transfer, and 21 patients were followed up finally, including 8 males and 13 females, aged from 48 to 82 years old with an average of(64.3±9.1) years old;the courses of disease ranged from 6 to 36 months with an average of (14.0±6.4) months. American Rotator and Elbow Surgeons Score(ASES) and Constant-Murley score were used to evaluate clinical efficacy before surgery and at the latest follow-up.
RESULTS:All 21 patients were followed up for 36 to 54 months with an average of (39.4±4.4) months. Axillary incision of 1 patient was redness, swelling and exudation after surgery, which healed after 3 weeks of dressing change, and exudate culture was negative. At the latest follow-up, MRI showed partial tearing of the metastatic tendon in 2 patients, but pain and movement of the affected shoulder were still better than before surgery. ASES increased from preoperative (41.0±9.6) scores to the latest follow-up (75.6±14.0) scores, and had statistical difference (t=10.50, P<0.01). Constant-Murley score increased from (49.8±7.1) scores before operation to (67.5±11.6) scores at the latest follow-up (t=11.27, P<0.01).
CONCLUSION:Arthroscopic assisted latissimus dorsalis tendon transposition restores physiological and anatomical structure of glenohumeral joint by reconstructing balance of horizontal and vertical couples of shoulder joint, thus achieving the stability of the shoulder joint, relieving shoulder pain and improving shoulder joint function.
