AANA19 Shoulder Access Pass-Questions and Answers: Symposium: Grand Debate - The Massive Cuff Tear-Dr. Aman Dhawan, M.D.

Questions and Answers: Symposium: Grand Debate - The Massive Cuff Tear-Dr. Aman Dhawan, M.D.

Video Transcription

Video Summary

In this video, a panel of doctors discusses techniques for revision surgery in young patients who have undergone primary massive rotator cuff repair. Dr. Gittleman suggests using the superior capsule reconstruction (SCR) technique if the subscapularis is intact. He also mentions bone cystic formations and suggests either avoiding them or using bone grafting or stacked screws to address them. Dr. Burkhart adds that it can be challenging to find suitable anchor placement in revision cases but suggests using products like osteofil and positioning anchors in good hard cortical bone. The doctors also mention checking for P-acnes infection and using interference screws in cases with soft bone. They briefly touch on reverse total shoulder replacement and the repair of the subscapularis tendon, with Dr. Burkhart utilizing a suture bridge technique. The video concludes with a question about immobilizing patients post-surgery, to which the doctors discuss the importance of allowing the subscapularis to heal but note that immobilization may differ for anatomic shoulder replacement and reverse replacement.

Asset Caption

Symposium: Grand Debate - The Massive Cuff Tear 5.2.2019

Keywords

revision surgery

superior capsule reconstruction

bone cystic formations

anchor placement

P-acnes infection