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Humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer in patients with rotator cuff tear arthropathy and preserved subscapularis muscle function: preliminary report and short-term results

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Humeral resurfacing arthroplasty represents an alternative option to hemiarthroplasty for treatment of cuff tear arthropathy (CTA), with the advantages as follows: suitability for relatively young and high-demand patients because of preservation of bone stock and no loss of length, less invasive surgery, shorter operation time, no risk of periprosthetic stem fractures, and revision surgery can be undertaken easily. In the current study, resurfacing arthroplasty in combination with latissimus dorsi tendon transfer for CTA was performed. Three hypotheses: first, humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer would improve the overall functional outcome in patients with CTA. Second, this combination would improve humeral external rotation. Third, this combination would improve abduction and shoulder elevation.

Methods

Study was conducted as an observational case series. Fourteen patients (nine ♀ and five ♂) having CTA were included. Follow-up was carried out at the end of the 28th month for all patients. Constant Score was used for follow-up evaluation. Dorso-axillary approach was used for latissimus dorsi tendon transfer and ventral deltopectoral approach for Copeland resurfacing. Tendons were fixed to the greater tuberosity with two anchors.

Results

The absolute Constant Score significantly improved from 34 preoperatively to 69 postoperatively, relative Constant Score from 42 to 91 %, elevation from 95° to 138°, abduction from 88° to 147°, and external rotation from 16° to 22° (not significant).

Conclusion

Humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer in patients having CTA with preserved subscapularis function has satisfactory short-term functional clinical outcome.

Level of evidence

IV.

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Ethical Considerations

This study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Conflict of interest

The authors declare that they have no conflict of interest. Also, they have not received any payment or services from any third party for any aspect of the submitted work. Also, they have no financial relationships with any the entities described in the instructions. Also, the authors have no patents whether planned, pending, or issued broadly relevant to the work. Also, the authors have no other relationships/conditions/circumstances that present a potential conflict of interest.

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Authors and Affiliations

  1. Department of Orthopedics, Trauma Surgery and Sports Medicine, Johanna Etienne Hospital, AM Hasenberg 46, 41462, Neuss, Germany

    Joerg Jerosch & Christian Neuhaeuser

  2. Orthopaedic Surgery and Traumatology Department, Suez Canal University, Circular Road, Isimailia, 41522, Egypt

    Sherif M. Sokkar & Ashraf Abdelkafy

Authors
  1. Joerg Jerosch
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  2. Sherif M. Sokkar
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  3. Christian Neuhaeuser
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  4. Ashraf Abdelkafy
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Correspondence to Sherif M. Sokkar.

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Jerosch, J., Sokkar, S.M., Neuhaeuser, C. et al. Humeral resurfacing arthroplasty in combination with latissimus dorsi tendon transfer in patients with rotator cuff tear arthropathy and preserved subscapularis muscle function: preliminary report and short-term results. Eur J Orthop Surg Traumatol 24, 1075–1083 (2014). https://doi.org/10.1007/s00590-014-1434-z

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  • DOI: https://doi.org/10.1007/s00590-014-1434-z

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