2024 AANA/ISAKOS Specialty Day All-Access Pass-55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis Discussion & Voting

55-Year-Old Female With Atraumatic Massive Cuff Tear With Pseudoparalysis Discussion & Voting

Video Transcription

Video Summary

The video discusses the differences between dermal and fascia lata SCR procedures in North America and Asia, respectively. The dermal graft SCR results in poor healing and less biomechanical support, leading some American doctors to stop performing it. In contrast, the fascia lata SCR in Asia shows promising results and increasing popularity. The importance of proper tissue healing and margin convergence in massive rotator cuff tears is highlighted, with a focus on techniques such as inferior capsular release and tendon mobilization. The use of autograft fascia lata is recommended for better healing and remodeling compared to dermal grafts. The debate also touches on the challenges of rotator cuff healing and the potential role of augmentation in these procedures.

Keywords

dermal graft SCR

fascia lata SCR

North America

Asia

rotator cuff tears