Purpose: In the absence of arthropathy, symptomatic massive irreparable rotator cuff tears contribute to a therapeutic challenge for orthopedic surgeons. The concept of superior capsular reconstruction (SCR) was introduced as an option for these challenging cases. The purposes of this study were to evaluate the clinical outcome scores when using a decellularized porcine xenograft and to evaluate the graft healing and incorporation.
View Article and Find Full Text PDFBackground: It remains unclear whether results differ between a Latarjet procedure performed after a failed arthroscopic Bankart repair and one performed as the primary operation.
Purpose: To compare the postoperative outcomes of the Latarjet procedure when performed as primary surgery and as revision for a failed arthroscopic Bankart repair.
Study Design: Cohort study; Level of evidence, 3.
Background: The preoperative number of dislocations has been previously proved to be a major factor influencing the results after Bankart repair with more preoperative dislocations correlated with higher recurrence rates and more reoperations. This could possibly be because of the lower quality of the tissue repaired during the procedure after multiple dislocations. On the other hand, the Latarjet procedure does not "repair" but rather reconstructs and augments the anterior glenoid.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
January 2018
Background: Shoulder dislocation is often the first symptom of Ehlers-Danlos syndrome (EDS). Whether it occurs in early-onset EDS is unknown. In most cases, surgical failure leads to the diagnosis.
View Article and Find Full Text PDFBackground: One of the most frequent demands from patients after shoulder replacement surgery is to return to sport.
Purpose: To determine the rate of return to sport after shoulder arthroplasty (total shoulder arthroplasty, reverse shoulder arthroplasty, hemiarthroplasty) in recreational athletes.
Study Design: Meta-analysis and systematic review.
Purpose: To evaluate the clinical and radiographic outcome of a biodegradable subacromial spacer in the treatment of massive irreparable rotator cuff tear.
Methods: Between January 2011 and December 2014, all shoulders with symptomatic massive irreparable rotator cuff tears treated at our institution with arthroscopic implantation of a biodegradable subacromial spacer followed for at least 1 year were included in our series. Patients with osteoarthritis ≥ grade 3 in the Hamada classification were excluded.
Purpose: To compare postoperative pain during the first postoperative week and the position of the coracoid bone block at the anterior aspect of the glenoid after the arthroscopic and the mini-open Latarjet procedure. The secondary purpose was to assess functional results and recurrence after at least 2 years of follow-up.
Methods: This comparative prospective study included patients who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2012.
Purpose: This study aimed to evaluate the abrasive properties of different suture materials (tape or regular) on the infraspinatus tendon of sheep.
Methods: Four types of sutures were compared: FiberWire (Arthex, Naples FL), FiberTape (Arthrex), Orthocord (DePuy Mitek, Raynham, MA) and ForceFiber (Tornier, Bloomington, MN). Each suture (n = 10) was cycled with a filxed load of 10 N and an alternating motion of the suture through sheep infraspinatus tendon, with an excursion of 30 mm.