2021 Annual Meeting Shoulder Access Pass-Superior Capsular Reconstruction Versus Bridging Graft: A Prospective Randomized Controlled Trial

Superior Capsular Reconstruction Versus Bridging Graft: A Prospective Randomized Controlled Trial

Video Transcription

Video Summary

The video discusses the topic of superior capsular reconstruction (SCR) versus bridging grafting for the treatment of massive irreparable cup tears. The presenter, Yohei Ono from Japan, explains that while partial repair with a graft is commonly performed, Dr. Mihata introduced the idea of SCR, which involves fixing the graft to the glenoid bone. The purpose of the study was to compare the outcomes of SCR and bridging grafting. A prospective randomized controlled trial was conducted, with 50 patients randomized and allocated to either procedure. The results showed no significant differences between the groups in terms of clinical outcomes, graft integrity, or acromiohumeral interval. Both procedures improved passive range of motion, and the overall healing rate was approximately 70%. Future research will focus on longer-term outcomes, ideal graft types, better fixation methods, and patient selection. The presenter acknowledges Dr. Mihata's earlier study using autografts, which showed better results. The video concludes by highlighting the need for further research in this area. No specific credits are given in the transcript.

Asset Caption

Dr. Ian Lo

Keywords

superior capsular reconstruction

bridging grafting

massive irreparable cup tears

clinical outcomes

graft integrity