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Arthroplasty 2019
June 24-25, 2019
Volume 14
Journal of Orthopaedics Trauma Surgery and Related Research
Arthroplasty
June 24-25, 2019 | Rome, Italy
12
th
International Conference on
Biological preservation in massive retracted rotator cuff tear
Khalid Masood
Hand and Upper Limb Surgery Center, Pakistan
Introduction:
Massive rotator-cuff tear results in painful loss of shoulder function with surgical challenges. Fascia-lata
autograft has shown promising results in recent era; though data is scarce.
Methods:
This case series was conducted in our department during 2016-18. The cases irrespective of age/gender with
massive rotator-cuff injury assessed on MRI/Arthroscopy were included. Fascia-lata graft used to bridge the gap by open
surgical technique. The outcomes were assessed by change in pain on VAS and disability on SPADI score.
Results:
In this study out of 10 cases 8 were male. Mean age of participants was 46.21±8.21 years. Postsurgical pain
reduction on VAS and increase in range of motion was as follows (table I).
Discussion:
Fascia-lata repair led to significant results in terms of pain relief and reduction in disability. These findings
were supported by many studies i.e. Dimitrios et al showing similar results in pain relief on constant score, ROM and
post-operative strength (p= <0.05). Galatz’s study on animal model show similar results.
Conclusion:
Fascia-lata repair in massive rotator-cuff injuries gives substantial outcome in pain relief as well as reduction
in disability
Pre-surgery disability
Change in VAS
p
Crippled
5.12±0.89
0.01
Severe
3.97±0.65
0.01
moderate
1.45±0.43
-
Range of motion
Crippled
43.21±12.31
0.001
Severe
30.24±9.45
0.001
Moderate
17.21±6.31
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J.Orthop.Trauma Surg.Relat.Res. | Volume 14
ISSN:2449-9145