Arthroscopic Superior Capsular Reconstruction for Massive Irreparable Rotator Cuff Repair.
We have been performing arthroscopic superior capsular reconstruction (SCR) with acellular dermal allograft for almost 2 years. Our techniques are based on Mihata's original concept for SCR, in which he used fascia lata autograft. In this report, we describe our standard arthroscopic technique as well as 2 variations of a "zip-line" technique, which we have found particularly useful for large dermal allografts (grafts that are ≥40 mm in any dimension).
The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.; Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.
Stephen S
SS
Burkhart
Southern Oregon Orthopedics, Medford, Oregon, U.S.A.
Patrick J
PJ
Denard
Department of Orthopedic Surgery, Naples Community Hospital, Naples, Florida, U.S.A.; Department of Medical Education, Arthrex, Inc., Naples, Florida, U.S.A.
Christopher R
CR
Adams
Tennessee Orthopaedic Clinics, Knoxville, Tennessee, U.S.A.
Paul C
PC
Brady
The San Antonio Orthopaedic Group, San Antonio, Texas, U.S.A.
Robert U
RU
Hartzler