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Latissimus dorsi tendon transfer found effective for rotator cuff tears
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Patients with irreparable, posterosuperior massive rotator cuff tears experienced pain relief, functional recovery and postoperative satisfaction after undergoing an arthroscopic-assisted latissimus dorsi tendon transfer, according to results.
Using the Constant and Murley score, researchers assessed preoperative and postoperative function in 86 patients who underwent an arthroscopic-assisted latissimus dorsi tendon transfer for irreparable, posterosuperior massive rotator cuff tears. Of the patients reviewed, 16.3% sustained an irreparable massive rotator cuff tear after a failed arthroscopic rotator cuff repair, according to researchers.
Results showed significant improvements in pain, activities, range of motion and strength following surgery, while the total Constant and Murley score significantly improved from approximately 35.5 preoperatively to approximately 69.5 postoperatively. According to findings by patient sex and age, researchers found a mean ratio of 76% to 89% for the total Constant and Murley score and a mean ratio of 26% to 44% for the Constant and Murley score domain for strength. Overall, 44.2% of patients were very satisfied, 46.5% were satisfied and 9.3% were dissatisfied.
Compared with primary procedures, results showed patients who underwent latissimus dorsi tendon transfer after a failed rotator cuff repair experienced lower internal rotation, Constant and Murley score domain for strength and satisfaction. According to results of a regression analysis, younger patients experienced a lower Constant and Murley score domain for pain. Researchers also noted preoperative total Constant and Murley score was a predictor for postoperative pain. – by Casey Tingle
Disclosure: The researchers report no relevant financial disclosures.
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