Latissimus dorsi tendon transfer: A comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears
On the basis of a modified Constant scoring system, we compared outcomes for 16 patients who underwent latissimus dorsi transfer as a salvage reconstruction for a failed prior rotator cuff repair with outcomes for 6 patients who underwent a primary reconstruction for an irreparable cuff defect. Ther...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2001-11, Vol.10 (6), p.514-521 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Warner, Jon J.P. Parsons, I.M. |
| description | On the basis of a modified Constant scoring system, we compared outcomes for 16 patients who underwent latissimus dorsi transfer as a salvage reconstruction for a failed prior rotator cuff repair with outcomes for 6 patients who underwent a primary reconstruction for an irreparable cuff defect. There was a statistically significant difference in Constant score between groups, which measured 55% for the salvage group compared with 70% for the primary group (P |
| doi_str_mv | 10.1067/mse.2001.118629 |
| format | Article |
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There was a statistically significant difference in Constant score between groups, which measured 55% for the salvage group compared with 70% for the primary group (P <.05). Poor tendon quality, stage 4 muscle fatty degeneration, and detachment of the deltoid insertion each had a statistically significant effect on the Constant score (P <.05). Late rupture of the tendon transfer occurred in 44% of patients in the salvage group compared with 17% in the primary group at a mean of 19 months postoperatively. Rupture had a statistically significant effect on the Constant score, which declined by a mean of 14% (P <.05). We conclude that salvage reconstruction of failed prior rotator cuff repairs yields more limited gains in satisfaction and function than primary latissimus dorsi transfer. 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There was a statistically significant difference in Constant score between groups, which measured 55% for the salvage group compared with 70% for the primary group (P <.05). Poor tendon quality, stage 4 muscle fatty degeneration, and detachment of the deltoid insertion each had a statistically significant effect on the Constant score (P <.05). Late rupture of the tendon transfer occurred in 44% of patients in the salvage group compared with 17% in the primary group at a mean of 19 months postoperatively. Rupture had a statistically significant effect on the Constant score, which declined by a mean of 14% (P <.05). We conclude that salvage reconstruction of failed prior rotator cuff repairs yields more limited gains in satisfaction and function than primary latissimus dorsi transfer. (J Shoulder Elbow Surg 2001;10:514-21.)</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pectoralis Muscles - transplantation</subject><subject>Probability</subject><subject>Range of Motion, Articular - physiology</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recovery of Function</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Salvage Therapy</subject><subject>Shoulder Joint - injuries</subject><subject>Shoulder Joint - surgery</subject><subject>Tendon Transfer - methods</subject><subject>Treatment Failure</subject><subject>Treatment Outcome</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE2LFDEQQIMo7oeevUlOnuzZJN1Jd7wti67CgBc9hyRdLZHuzphKD-xP8F9vDTPgyVNC8fJCPcbeSbGTwvR3C8JOCSF3Ug5G2RfsWupWNUYL8ZLuQg-N6jtzxW4QfwshbCfUa3YlZd-1Wg3X7O_e14SYlg35mAsmXmEd88pr8StOUD7xex7zcvCFwCNwv_r5CRPyPPFDSYsvTzQbOfr56H8BLxDzirVssSbSELV48h_hI0-lwMkTZsJy9TUXHrdpoi99wTfs1eRnhLeX85b9_PL5x8PXZv_98dvD_b6JnbC10Sp0tLC2WoYBBghtMOClggih00K3JkZLI-phwZqhC8LbybZS9EPozdjesg9n76HkPxtgdUvCCPPsV8gbul61ujP9QODdGYwlIxaY3GVfJ4U71XdU353qu3N9evH-ot7CAuM__pKbAHsGgBY8JigOY4I1wpioW3VjTv-VPwP7u5au</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Warner, Jon J.P.</creator><creator>Parsons, I.M.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011101</creationdate><title>Latissimus dorsi tendon transfer: A comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears</title><author>Warner, Jon J.P. ; Parsons, I.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-52b40015951b8e8eb3b6ea12eceb450536cc9b6e1869e9684b0a9f931078b76d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pectoralis Muscles - transplantation</topic><topic>Probability</topic><topic>Range of Motion, Articular - physiology</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recovery of Function</topic><topic>Reoperation - methods</topic><topic>Retrospective Studies</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Salvage Therapy</topic><topic>Shoulder Joint - injuries</topic><topic>Shoulder Joint - surgery</topic><topic>Tendon Transfer - methods</topic><topic>Treatment Failure</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warner, Jon J.P.</creatorcontrib><creatorcontrib>Parsons, I.M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warner, Jon J.P.</au><au>Parsons, I.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Latissimus dorsi tendon transfer: A comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2001-11-01</date><risdate>2001</risdate><volume>10</volume><issue>6</issue><spage>514</spage><epage>521</epage><pages>514-521</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>On the basis of a modified Constant scoring system, we compared outcomes for 16 patients who underwent latissimus dorsi transfer as a salvage reconstruction for a failed prior rotator cuff repair with outcomes for 6 patients who underwent a primary reconstruction for an irreparable cuff defect. There was a statistically significant difference in Constant score between groups, which measured 55% for the salvage group compared with 70% for the primary group (P <.05). Poor tendon quality, stage 4 muscle fatty degeneration, and detachment of the deltoid insertion each had a statistically significant effect on the Constant score (P <.05). Late rupture of the tendon transfer occurred in 44% of patients in the salvage group compared with 17% in the primary group at a mean of 19 months postoperatively. Rupture had a statistically significant effect on the Constant score, which declined by a mean of 14% (P <.05). We conclude that salvage reconstruction of failed prior rotator cuff repairs yields more limited gains in satisfaction and function than primary latissimus dorsi transfer. (J Shoulder Elbow Surg 2001;10:514-21.)</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11743528</pmid><doi>10.1067/mse.2001.118629</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1058-2746 |
| ispartof | Journal of shoulder and elbow surgery, 2001-11, Vol.10 (6), p.514-521 |
| issn | 1058-2746 1532-6500 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Female Follow-Up Studies Humans Injury Severity Score Magnetic Resonance Imaging Male Middle Aged Pectoralis Muscles - transplantation Probability Range of Motion, Articular - physiology Reconstructive Surgical Procedures - methods Recovery of Function Reoperation - methods Retrospective Studies Rotator Cuff - surgery Rotator Cuff Injuries Salvage Therapy Shoulder Joint - injuries Shoulder Joint - surgery Tendon Transfer - methods Treatment Failure Treatment Outcome |
| title | Latissimus dorsi tendon transfer: A comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears |
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