Latissimus Dorsi Transfer for Massive Rotator Cuff Tear

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Arthroscopic Transosseous Rotator Cuff Repair with Cortical Augmentation

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Surgical Video: Arthroscopic Rotator Cuff Repair

Arthroscopic Rotator Cuff Repair: Releases and Mobilization

Arthroscopic Rotator Cuff Repair at Our Institutions: 2007-2008

Total Number of Arthroscopic Rotator Cuff repair surgeries performed by Dr. Jon J.P. Warner at Mass. General Hospital = 186 

Total Number of Arthroscopic Rotator Cuff repair surgeries performed by Dr. Laurence D. Higgins at Brigham and WomensHospital = 200

Total Arthroscopic Rotator Cuff Repair Surgeries = 386

Breakdown of Rotator Cuff Tendon Repairs:

  • 87   =  Revision Cases (23%)
  • 102 = Massive Tears (26%)
  • 353 involved Supraspinatus Tendon (91%)
  • 143 involved Infraspinatus Tendon (37%)
  • 64   involved Subscapularis Tendon (17%)
  • 11   involved Teres Minor Tendon (3%)

 

Critical Review of Outcome of Surgery: 2003-2005rcr quality1

  • Arthroscopic Rotator Cuff Repairs performed at MGH & BWH during this time
  • Presented as American Shoulder and Elbow Society Abstract but unpublished data
  • 131 patients (77 men, 54 women)
  • Average follow-up: 1 year
  • 25 injuries were work-related
  • Tear sizes:
    • 3 or 4 tendons torn: 9 patients
    • 2 tendons torn: 69 patients
    • 1 tendon torn: 52 patients

 

How Satisfied were our Patients?

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Patient Satisfaction:

  • Are you happy and would you have the surgery again?
    • 95.5% answered YES
  • Are you satisfied with how your shoulder functions?
    • 98.6% answered YES

Complications:

  • Stiffness: 0%
  • Nerve Injury: 0%
  • Infection: 0%

Other Clinical Experience:

Lafosse and colleagues studied 105 patients in 2006 (Published in J. Bone and Joint Surgery)

  • Almost all patients were happy with outcomes
  • Average improvement in Constant Score (out of 100 points):
    • Before surgery Constant Score (average)= 43 points
    • After surgery Constant Score (average)= 80 points
  • Percentage of tendon tears with complete healing on MRI after surgery= 89%
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