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Rev Esp Cir Ortop Traumatol. 2018 May - Jun;62(3):157-167. doi: 10.1016/j.recot.2017.12.004. Epub 2018 Mar 30.

Outcomes of rotator cuff augmentation surgery with autologous fascia lata.

[Article in English, Spanish]

Author information

1
Área de Traumatología, Hospital de Torrecárdenas, Almería, España. Electronic address: aprosalesv@gmail.com.
2
Área de Radiodiagnóstico, Hospital de Torrecárdenas, Almería, España.
3
Departamento de Anatomía, Facultad de Medicina, Universidad de Granada, Granada, España.

Abstract

OBJECTIVE:

To evaluate whether augmentation grafts using autologous fascia lata improve functional results for rotator cuff repairs and reduce the retear rate compared to those without augmentation.

MATERIAL AND METHODS:

This is a prospective evaluation comprising 20 patients with a complete symptomatic rotator cuff tear. The operations were carried out from a superior approach performing a total cuff repair, for 10 patients we used a suture augmented with an autologous graft taken from their own fascia lata while unaugmented sutures were used for the other 10 patients. The follow-up period lasted for one year post-intervention. We measured variables for tear type, functionality and pain, both baseline and at 6 and 12-month follow ups. We evaluated retear incidence in each group as well as each group's pain and functionality response.

RESULTS:

The improved pain levels in the non-graft group evolved gradually over time. Conversely, in the group with the augmentation grafts, average Constant-Murley shoulder outcome scores at six months were already above 10 and were maintained at 12 months. One retear occurred in the graft group and 2 in the group without grafts, thus presenting no significant differences. There were no significant changes in pain and function values at the one year follow up in either group.

CONCLUSION:

Our preliminary results regarding rotator cuff augmentation surgery with autologous fascia lata showed a significant improvement in pain levels after 6 months compared to the patients with no augmentation, who required 12 months to reach the same values. After a year of follow up, there were no differences between the mean Constant and pain scores in either intervention group The number of retears in the non-graft group was greater than that in the group with grafts although the difference was not significant.

KEYWORDS:

Augmentation; Aumento; Fascia lata; Hombro; Lesiones del manguito de los rotadores; Rerroturas; Retear; Rotator cuff tear; Shoulder

PMID:
29606528
DOI:
10.1016/j.recot.2017.12.004
[Indexed for MEDLINE]

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