Treatment Innovations for Massive & Irreparable Rotator Cuff Tears (AANA22)-Massive Rotator Cuff Options for the Difficult Tear

Video Transcription

Video Summary

Dr. Buddy Savoie discusses his approach to massive rotator cuff tears in this video. He questions the existence of irreparable tears, stating that with the right techniques and tools, most tears can be repaired. Factors such as tear size, tissue quality, superior migration, and atrophy are often cited as reasons for irreparability. However, Dr. Savoie argues that these factors can be overcome with releases, patches, and other support structures. He emphasizes the importance of preoperative evaluation and planning, including checking for motion and arthritis, as well as assessing the acromial humeral distance and critical shoulder angle. During surgery, continuous assessment of the tear and release of structures are crucial for successful repair. Dr. Savoie also mentions various supplemental procedures, such as subacromial spacers, tendon transfers, and reverse shoulder replacement, for cases where repair is not possible or not fully functional. He concludes by discussing postoperative care, including rehabilitation and supplementation.

Asset Caption

Felix "Buddy" H. Savoie, M.D.

Keywords

massive rotator cuff tears

irreparable tears

tear size

tissue quality

superior migration

atrophy