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APEX Shoulder Mastering Surgical Techniques for Cl ...
SCR: Is it That Much Better than a Bridging Graft?
SCR: Is it That Much Better than a Bridging Graft?
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Video Transcription
Video Summary
In this video, the speaker discusses the technique of superior capsule reconstruction for treating massive irreparable shoulder tears. The procedure involves attaching a graft from the superior glenoid to the lateral aspect of the humerus. The inventor of this technique, Dr. Mihata, initially used fascia ladder autograft due to limited availability of allografts in Japan. Results from studies have shown significant improvement in clinical outcomes, including increased range of motion and improved scores. However, the success of the procedure is dependent on factors such as intact subscapularis and posterior cuff, and the choice of graft material, with fascia ladder autograft showing better stability compared to human dermal allograft. Additional clinical studies, especially randomized controlled trials, are needed to further evaluate and compare the effectiveness of different surgical options.
Asset Caption
Ian K.Y. Lo, MD
Keywords
superior capsule reconstruction
shoulder tears
fascia ladder autograft
clinical outcomes
graft material
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