Latissimus dorsi tendon transfer for massive, irreparable posterosuperior rotator cuff tears: surgical technique.
Massive rotator cuff tears remain a complex and challenging problem for both the patient and the surgeon. Although significant advancements in surgical techniques as well as technology for arthroscopic and mini-open rotator cuff repairs have been made, many massive tears result in failed repair with continued progressive tendon retraction and degeneration. In cases when primary tendon to bone healing is impractical, latissimus dorsi tendon transfer provides promising and reproducible clinical results. Herein, we present a latissimus tendon transfer surgical technique, a procedure we have used as a salvage operation for failed arthroscopic/mini-open primary rotator cuff repair.
*Department of Orthopaedic Surgery, Ochsner Clinic Foundation ‡Department of Orthopaedic Surgery, Ochsner Clinic Foundation, Ochsner Clinical School, University of Queensland School of Medicine, New Orleans, LA †Division of Plastic and Reconstructive Surgery, Mayo Clinic, Scottsdale, AZ.
Rabah
R
Qadir
Lucas
L
Romine
David C
DC
Yao
Scott F M
SF
Duncan
D006801:Humans; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012782:Shoulder / Q000601:surgery; D000070599:Shoulder Injuries; D064171:Superficial Back Muscles / Q000601:surgery*; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*