Superior capsule reconstruction using 8mm-thick fresh-frozen fascia lata graft for irreparable supraspinatus and infraspinatus tendon tears: A cadaveric biomechanical study.

IF 1.5 4区 医学 Q3 ORTHOPEDICS Journal of Orthopaedic Science Pub Date : 2025-03-12 DOI:10.1016/j.jos.2025.02.007
Teruhisa Mihata, Christen E Chalmers, Joseph Carbone, Mauro Maniglio, Michael Künzler, Nilay A Patel, Michelle H McGarry, Thay Q Lee
{"title":"Superior capsule reconstruction using 8mm-thick fresh-frozen fascia lata graft for irreparable supraspinatus and infraspinatus tendon tears: A cadaveric biomechanical study.","authors":"Teruhisa Mihata, Christen E Chalmers, Joseph Carbone, Mauro Maniglio, Michael Künzler, Nilay A Patel, Michelle H McGarry, Thay Q Lee","doi":"10.1016/j.jos.2025.02.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Superior capsule reconstruction (SCR) was developed to restore superior glenohumeral stability and function to shoulder joints with irreparable rotator cuff tears. Previous biomechanical studies have investigated the effects of SCR using dermal graft or freeze-dried fascia lata allograft. The objective of the current study was to investigate the effect of SCR using fresh-frozen fascia lata graft, which closely resembles the fresh fascia lata autograft used clinically, on shoulder biomechanics in irreparable rotator cuff tendon tear.</p><p><strong>Methods: </strong>Eight fresh-frozen cadaveric shoulders were tested by using a custom testing device. Subacromial peak contact pressure (pressure sensor), superior glenohumeral translation (three-dimensional digitizing system), and glenohumeral range of motion (goniometer) were compared under three conditions: (1) intact shoulder; (2) simulated irreparable rotator cuff (supraspinatus and infraspinatus) tear; and (3) SCR using fresh-frozen fascia lata graft. SCR was performed according to the technique for SCR using fascia lata autograft. The average graft thickness was 8.6 mm at the medial edge and 8.9 mm at the lateral edge.</p><p><strong>Results: </strong>Compared with the intact condition, creation of the irreparable rotator cuff tear increased superior translation and subacromial peak contact pressure at 0° (P < 0.01) and 30° (P < 0.001) of glenohumeral abduction. SCR using fresh-frozen fascia lata graft decreased superior translation and subacromial peak contact pressure to the intact level (P < 0.01 for both). SCR using fresh-frozen fascia lata graft did not decrease internal (P = 0.15 to 0.99), external (P = 0.90 to 0.99), or total (P = 0.35 to 0.98) rotation at 0°, 30°, or 60° of glenohumeral abduction, compared with the irreparable supraspinatus and infraspinatus tendon tear condition.</p><p><strong>Conclusion: </strong>For irreparable supraspinatus and infraspinatus tendon tear, SCR using 8 mm-thick fresh-frozen fascia lata graft restored superior glenohumeral stability to the intact level without any restriction of glenohumeral range of motion after surgery.</p>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":" ","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jos.2025.02.007","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Superior capsule reconstruction (SCR) was developed to restore superior glenohumeral stability and function to shoulder joints with irreparable rotator cuff tears. Previous biomechanical studies have investigated the effects of SCR using dermal graft or freeze-dried fascia lata allograft. The objective of the current study was to investigate the effect of SCR using fresh-frozen fascia lata graft, which closely resembles the fresh fascia lata autograft used clinically, on shoulder biomechanics in irreparable rotator cuff tendon tear.

Methods: Eight fresh-frozen cadaveric shoulders were tested by using a custom testing device. Subacromial peak contact pressure (pressure sensor), superior glenohumeral translation (three-dimensional digitizing system), and glenohumeral range of motion (goniometer) were compared under three conditions: (1) intact shoulder; (2) simulated irreparable rotator cuff (supraspinatus and infraspinatus) tear; and (3) SCR using fresh-frozen fascia lata graft. SCR was performed according to the technique for SCR using fascia lata autograft. The average graft thickness was 8.6 mm at the medial edge and 8.9 mm at the lateral edge.

Results: Compared with the intact condition, creation of the irreparable rotator cuff tear increased superior translation and subacromial peak contact pressure at 0° (P < 0.01) and 30° (P < 0.001) of glenohumeral abduction. SCR using fresh-frozen fascia lata graft decreased superior translation and subacromial peak contact pressure to the intact level (P < 0.01 for both). SCR using fresh-frozen fascia lata graft did not decrease internal (P = 0.15 to 0.99), external (P = 0.90 to 0.99), or total (P = 0.35 to 0.98) rotation at 0°, 30°, or 60° of glenohumeral abduction, compared with the irreparable supraspinatus and infraspinatus tendon tear condition.

Conclusion: For irreparable supraspinatus and infraspinatus tendon tear, SCR using 8 mm-thick fresh-frozen fascia lata graft restored superior glenohumeral stability to the intact level without any restriction of glenohumeral range of motion after surgery.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
期刊最新文献
Superior capsule reconstruction using 8mm-thick fresh-frozen fascia lata graft for irreparable supraspinatus and infraspinatus tendon tears: A cadaveric biomechanical study. The incidence and cause of reoperation for complications after volar locking plate fixation of distal radial fractures. Fracture of the patella involving inferior pole is associated with postoperative patella baja - A retrospective multicenter study First ray mobility in hallux rigidus, hallux valgus, and normal feet based on weightbearing computed tomography and three-dimensional analysis: A case-control study Far cortical locking constructs for fixation of distal femur fractures in an Asian population: A prospective observational study
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1