ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022
Arthroscopic-assisted latissimus dorsi transfer for irreparable posterosuperior cuff tears: Clinical outcome of 15 patients.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- An analysis of failure rates for treatment options for large to massive irreparable rotator cuff tears: a systematic review.Journal of shoulder and elbow arthroplasty · 2026Review
- Body mass index does not affect clinical outcomes following arthroscopically assisted posterior latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears: a minimum 5-year follow-up study.JSES reviews, reports, and techniques · 2026Article
- The clinical and biomechanical applications of the lower trapezius tendon transfer: a scoping review of techniques and outcomes.JSES reviews, reports, and techniques · 2025Review
- Failure of dermal allograft remodeling and integration after superior capsular reconstruction for an irreparable rotator cuff tear: a case study 70 months postimplantation.JSES international · 2025Article
- Definition of irreparable rotator cuff tear: a scoping review of prospective surgical therapeutic trials to evaluate current practice.BMC musculoskeletal disorders · 2023Article
- Technical Guide and Tips to Posterior Arthroscopic Latissimus Dorsi Transfer for Irreparable Posterosuperior Rotator Cuff Tears.Arthroscopy techniques · 2022Article
- [Latissimus dorsi transfer with a modified single-incision Herzberg technique and description of its arthroscopic advancement].Operative Orthopadie und Traumatologie · 2022Article
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Authors and funding
6 authors.
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Abstract
objectiveWe analyzed the clinical and functional results of patients with irreparable posterosuperior rotator cuff tears treated with arthroscopic-assisted latissimus dorsi transfer and the clinical relevance of the addition of partial repair of the remaining cuff to the transfer.
methodsThis was a prospective cohort study that included patients diagnosed with irreparable massive rotator cuff tears treated by arthroscopic-assisted latissimus dorsi transfer between 2015 and 2018. Demographic characteristics, clinical and functional outcomes (Constant-Murley (CS) score and subjective shoulder value (SSV)), and the incidence of complications were evaluated. Clinical outcomes were compared between patients treated with transfer alone and transfer with partial cuff repair.
resultsFifteen patients were included, with an average follow-up of 37 ± 16 months. The median duration of symptoms before surgery was 66 weeks (24-208). A significant increase in forward elevation of 52° (p < 0.003) and abduction of 48° (p < 0.001) was obtained. The CS score increased by 48 points (p < 0.001), and the SSV changed from 29% preoperatively to 70% postoperatively (p < 0.001), with a significant decrease in the visual analog pain score from 7 to 1 (p < 0.001). In 10 patients, partial repair of the rotator cuff was also performed. No statistically significant differences were found in these patients compared with patients treated with transfer alone. Two patients presented complications, including transient sensitive neuropraxia of the axillary nerve and seroma, which were managed conservatively and did not affect the outcomes.
conclusionArthroscopic-assisted latissimus dorsi transfer is a safe technique that significantly improves clinical and functional outcomes in selected patients. Longer follow-up and comparison with other treatment options are needed to confirm these excellent results in this group of difficult-to-treat patients. LEVEL OF EVIDENCE IV: Nil.
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