Evidence map›Paper›PMID 33484306›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Supraspinatus tendon reconstruction using open infraspinatus tendon shift and autologous biceps tendon interposition grafts.

Jörg Panzert, Pierre Hepp, Mareike Hellfritzsch, Almut Sasse, Jan Theopold

Abstract read
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Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jörg Panzert *Orthopädiezentrum Sachsenortho, Breitscheidstrasse 13, 08209, Auerbach, Germany.
Pierre Hepp *Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
Mareike HellfritzschOrthopädiezentrum Sachsenortho, Breitscheidstrasse 13, 08209, Auerbach, Germany.
Almut SasseOrthopädiezentrum Sachsenortho, Breitscheidstrasse 13, 08209, Auerbach, Germany.
Jan TheopoldDepartment of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany. jan.theopold@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0003-2884-8030

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInferior tendon quality, wide retraction, and tendon stumps that cannot be mobilized define the limits of what is technically feasible for open and arthroscopic rotator cuff reconstruction. The aim of this study was to develop a procedure that enables the open reconstruction of otherwise non-reconstructable rotator cuff tears.

methodsFrom 2014 to 2018, 23 operations were performed on 21 patients (mean age 63) using open procedure involving separating the infraspinatus tendon from the point of insertion on the greater tubercle and mobilizing it proximally and ventrally into the defective area. Any remaining defects were augmented using an autologous biceps tendon interposition graft. This augmentation was performed to achieve complete closure of the defect. Furthermore, the augmentation of the rupture zone was intended to strengthen the tendon stumps of the SSP and ISP to better neutralize the initial tensile forces. After a postoperative period of 12 months-4 years, clinical examination and functional tests were carried out, the Constant score was determined, and radiological and magnetic resonance imaging check-up examinations were performed.

resultsThe technique resulted in a low-tension closure of an otherwise "non-repairable" superior rotator cuff defect. All patients experienced a significant functional improvement, a reduction in pain, and an increase in muscle strength. An improvement in the Constant score from 48 points preoperatively to 87 points postoperatively (p < 0.05) was observed. In 19 patients (90%), the magnetic resonance image showed an intact reconstruction. Re-rupture was seen in three patients (14%).

conclusionThe surgical procedure using infraspinatus tendon shift and autologous biceps tendon interposition grafts resulted in the successful reconstruction of otherwise non-reconstructable massive rotator cuff lesions. The complete closure of the defect was observed.

Indexed as

Rotator CuffRotator Cuff InjuriesArthroscopyHumansMagnetic Resonance ImagingMiddle AgedRuptureTendonsTreatment OutcomeBiceps tendon transferDefect arthropathyInfraspinatus shiftMassive tearReconstruction techniqueRotator cuff tearSupraspinatus tendon

Identifiers

PMID33484306
PMCPMC9217778

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