Superior capsule reconstruction for irreparable rotator cuff tears: A systematic review of biomechanical and clinical outcomes by graft type
Journal of Shoulder and Elbow Surgery Sep 22, 2019
Makovicka JL, et al. - A systematic review was done and eight cadaveric biomechanical studies, five autograft clinical studies, and four allograft clinical studies were involved to evaluate the biomechanical and clinical outcomes in shoulders with this condition treated with superior capsular reconstruction (SCR). In biomechanical studies, in most tested scenarios, subacromial contact pressure and superior humeral translation were reduced. In all autograft clinical studies reporting, a rise in American Shoulder and Elbow Surgeons (ASES) scores, forward elevation and external rotation values, and acromiohumeral distance (AHD) were discovered. Allograft clinical studies reported rises in ASES scores, forward elevation values, and AHD but declines in visual analog scale scores in all studies reporting. Thus, to address the irreparable rotator cuff tear, SCR is rising as a viable surgical option. Biomechanical studies recommend that the humeral head–stabilizing effect of SCR seems to transpose into enhanced clinical outcomes. Prospective research should concentrate on additional defining the implications, constraints, and optimal technique.
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