Ke Chou1*, Liangjun Li1*, Wei Yin2, Yun Gu1 and Min Yu1
1Department of Orthopedics, Changsha Central Hospital, China 2Department of Orthopedics, Changde First People’s Hospital, ChinaFulltext PDF
Recent years have witnessed an increasing number of methods and more sophisticated technology of surgical treatments for rotator cuff. However, the selection of appropriate tissue for repairing massive irreparable rotator cuff remains one of the greatest challenges in the field of repair surgery. In this Paper, we herein present 2 patients who received arthroscopic repair of massive irreparable rotator cuff tear with fascia lata patches in March and May 2017 and they were followed up for 50 and 48 months respectively. Magnetic Resonance Imaging (MRI) were performed before and after the surgery and yearly thereafter. The first patient’s American Shoulder and Elbow Surgeons (ASES) score increased from 43.0 to 93.0 points and Visual Analog Score (VAS) for pain decreased from 9 preoperatively to 0 postoperatively and the constant-Murley score increased from 14 to 91 points. Regarding the second patient, ASES score increased from 52.7 to 94.8 points and VAS for pain decreased from 9 preoperatively to 0 postoperatively and the constant-Murley score increased from 24 to 93 points. Therefore, arthroscopic repair with fascia lata patches could effectively improve shoulder function and relieve pain in patients with massive irreparable rotator cuff tears and is thus worthy of clinical application.
Rotator cuff tear; Arthroscopic; Fascia lata
Chou K, Li L, Yin W, Gu Y, Yu M. Arthroscopic Repair of a Fascia Lata Patch for Massive, Irreparable Rotator Cuff Tear: A Report of Two Cases. Ann Clin Case Rep. 2021; 6: 2000..