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Arthroscopic superior capsular reconstruction for irreparable rotator cuff tears
Arthrosc Orthop Sports Med 2018;5:37-43
Published online November 1, 2018;  https://doi.org/10.14517/aosm18006
© 2018 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Hwan-Sub Hyun, Sang-Jin Shin

Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea
Correspondence to: Sang-Jin Shin, https://orcid.org/0000-0003-0215-2860
Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea. Tel: +82-2-2650-5010, Fax: +82-2-2642-0349, E-mail: sjshin622@ewha.ac.kr
Received June 3, 2018; Revised June 7, 2018; Accepted June 18, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Irreparable rotator cuff tears are difficult to treat and present a challenge for orthopedic surgeons. Among the various treatments of irreparable cuff tear, superior capsular reconstruction has recently been introduced and used as a treatment strategy to preserve the glenohumeral joints biomechanics. Superior capsular reconstruction with autogenous fascia lata is a treatment option to restore the function of the glenohumeral joint by restoring the force couple of the rotator cuff and repositioning the superiorly migrated humeral head to the center of the glenohumeral joint, thereby delaying the time of reverse total shoulder arthroplasty replacement. Although there are many other graft materials, such as acellular dermal matrix, there is a need to confirm the long term outcomes of the superior capsular reconstruction.
Keywords : Rotator cuff; Superior capsule; Fascia lata; Acellular dermal matrix
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November 2018, 5 (2)