APEX Shoulder Mastering Surgical Techniques for Clinical Success-SCR: Is it That Much Better than a Bridging Graft?

SCR: Is it That Much Better than a Bridging Graft?

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