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CC2022: Clinical and Functional Outcomes by Graft ...
Clinical and Functional Outcomes by Graft Type in ...
Clinical and Functional Outcomes by Graft Type in Superior Capsular Reconstruction: A Systematic Review and Meta-analysis (December 2022)
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Pdf Summary
Superior capsular reconstruction (SCR) is a promising treatment for massive rotator cuff tears that involves using different types of grafts. A systematic review and meta-analysis compared the clinical outcomes, functional outcomes, and complication rates of SCR performed with dermal allograft, tensor fascia lata (TFL) autograft, long head of the biceps tendon (LHBT) autograft, and porcine xenograft. The results showed that dermal allograft, TFL autograft, and LHBT autograft are all suitable options for SCR and demonstrate significant improvements in American Shoulder and Elbow Surgeons scores, pain scores per visual analog scale, and forward elevation. Dermal allograft and TFL autograft have comparable rates of graft tear and reoperation. However, porcine xenograft showed higher rates of complications compared to the other graft types. The study concluded that SCR with different graft types can provide similar short-term clinical outcomes, but further studies are needed for a more conclusive assessment of different graft types. Additionally, long-term follow-up is required to determine the lifetime utility of SCR relative to other surgical options.
Keywords
Superior capsular reconstruction
Massive rotator cuff tears
Graft types
Dermal allograft
Tensor fascia lata autograft
Long head of the biceps tendon autograft
Porcine xenograft
Clinical outcomes
Functional outcomes
Complication rates
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