Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Radiologic and clinical outcomes of an arthroscopic bridging graft for irreparable rotator cuff tears with a modified Mason-Allen stitch using a plantaris tendon autograft: a case series with minimum 2-year outcomes

  • Hyun-Gyu Seok (Department of Orthopedic Surgery, Yeungnam University Medical Center) ;
  • Sam-Guk Park (Department of Orthopedic Surgery, Yeungnam University Medical Center)
  • Received : 2022.12.20
  • Accepted : 2023.04.15
  • Published : 2023.12.01
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Abstract

Background: Surgical management of a massive rotator cuff tear (RCT) is always challenging. This study describes the clinical and radiological outcomes of patients who underwent bridging grafts using a plantaris tendon for an irreparable RCT. Methods: Thirteen patients with a massive RCT were treated with arthroscopic interposition of a folded plantaris tendon autograft between June 2017 and January 2020. For clinical evaluation, a visual analog scale (VAS), American Shoulder and Elbow Surgeons (ASES) score, Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley score, and range of motion values were collected. For radiographic evaluation, standardized magnetic resonance imaging and ultrasonography were performed to check the integrity of the interposed tendon. Results: A statistically significant improvement at the final follow-up was evident in scores for the VAS (-3.0, P=0.003), ASES (24.9, P=0.002), D ASH (-20.6, P=0.001), and Constant-Murley values (14.2, P=0.010). In addition, significant improvement was shown in postoperative flexion (17.3°, P=0.026) and external rotation (27.7°, P<0.001). In postoperative radiologic evaluations, the interposed tendons were intact at the last examination in 12 of the 13 patients. No complications related to donor sites were reported. Conclusions: An arthroscopic bridging graft for irreparable RCTs using a modified Mason-Allen stitch and a plantaris autograft resulted in improved short-term radiological and clinical outcomes. Graft integrity was maintained for up to 2 years in most patients. Level of evidence: IV.

Keywords

Acknowledgement

The authors would specially thank Jung kyoung Yoon, who works as a musculoskeletal radiologist at Nazareth General Hospital, for her assistance in the radiologic examination.

References

  1. Yoo JC, Ahn JH, Yang JH, Koh KH, Choi SH, Yoon YC. Correlation of arthroscopic repairability of large to massive rotator cuff tears with preoperative magnetic resonance imaging scans. Arthroscopy 2009;25:573-82.
  2. Warner JJ, Parsons IM 4th. Latissimus dorsi tendon transfer: a comparative analysis of primary and salvage reconstruction of massive, irreparable rotator cuff tears. J Shoulder Elbow Surg 2001;10:514-21.
  3. Muench LN, Kia C, Jerliu A, et al. Clinical outcomes following biologically enhanced patch augmentation repair as a salvage procedure for revision massive rotator cuff tears. Arthroscopy 2020;36:1542-51.
  4. Hersche O, Gerber C. Passive tension in the supraspinatus musculotendinous unit after long-standing rupture of its tendon: a preliminary report. J Shoulder Elbow Surg 1998;7:393-6.
  5. Park SG, Shim BJ, Seok HG. How much will high tension adversely affect rotator cuff repair integrity. Arthroscopy 2019;35:2992-3000.
  6. Burkhart SS, Johnson TC, Wirth MA, Athanasiou KA. Cyclic loading of transosseous rotator cuff repairs: tension overload as a possible cause of failure. Arthroscopy 1997;13:172-6.
  7. Rhee SM, Youn SM, Park JH, Rhee YG. Biceps rerouting for semirigid large-to-massive rotator cuff tears. Arthroscopy 2021;37:2769-79.
  8. Jones CR, Snyder SJ. Massive irreparable rotator cuff tears: a solution that bridges the gap. Sports Med Arthrosc Rev 2015;23:130-8.
  9. Rhee YG, Cho NS, Parke CS. Arthroscopic rotator cuff repair using modified Mason-Allen medial row stitch: knotless versus knot-tying suture bridge technique. Am J Sports Med 2012;40:2440-7.
  10. Delaney RA, Lin A, Warner JJ. Nonarthroplasty options for the management of massive and irreparable rotator cuff tears. Clin Sports Med 2012;31:727-48.
  11. Lee KW, Choi HG, Yang DS, Yu YT, Kim WS, Choy WS. Achilles tendon allograft for superior capsule reconstruction in irreparable massive rotator cuff tears. Clin Orthop Surg 2021;13:395-405.
  12. Lee KW, Lee GS, Yang DS, Park SH, Chun YS, Choy WS. Clinical outcome of arthroscopic partial repair of large to massive posterosuperior rotator cuff tears: medialization of the attachment site of the rotator cuff tendon. Clin Orthop Surg 2020;12:353-63.
  13. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy 2013;29:459-70.
  14. Kim YS, Lee HJ, Park I, Sung GY, Kim DJ, Kim JH. Arthroscopic in situ superior capsular reconstruction using the long head of the biceps tendon. Arthrosc Tech 2018;7:e97-103.
  15. Steinhaus ME, Makhni EC, Cole BJ, Romeo AA, Verma NN. Outcomes after patch use in rotator cuff repair. Arthroscopy 2016;32:1676-90.
  16. Ono Y, Davalos Herrera DA, Woodmass JM, Boorman RS, Thornton GM, Lo IK. Graft augmentation versus bridging for large to massive rotator cuff tears: a systematic review. Arthroscopy 2017;33:673-80.
  17. Bailey JR, Kim C, Alentorn-Geli E, et al. Rotator cuff matrix augmentation and interposition: a systematic review and meta-analysis. Am J Sports Med 2019;47:1496-506.
  18. Chalmers PN, Frank RM, Gupta AK, et al. All-arthroscopic patch augmentation of a massive rotator cuff tear: surgical technique. Arthrosc Tech 2013;2:e447-51.
  19. Maqdes A, Abarca J, Moraiti C, et al. Does preoperative subscapularis fatty muscle infiltration really matter in anterosuperior rotator cuff tears repair outcomes? A prospective multicentric study. Orthop Traumatol Surg Res 2014;100:485-8.
  20. Park SG, Seok HG. Use of an arthroscopic bridging graft for irreparable rotator cuff tears with the modified Mason-Allen stitch using a tendon autograft. Arthrosc Tech 2022;11:e857-61.
  21. Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign. J Shoulder Elbow Surg 2013;22:e6-10.
  22. Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 2012;28:154-9.
  23. Davidson JF, Burkhart SS, Richards DP, Campbell SE. Use of preoperative magnetic resonance imaging to predict rotator cuff tear pattern and method of repair. Arthroscopy 2005;21:1428.
  24. Reilly P, Bull AM, Amis AA, et al. Passive tension and gap formation of rotator cuff repairs. J Shoulder Elbow Surg 2004;13:664-7.
  25. Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006;88:113-20.
  26. Weening AA, Willems WJ. Latissimus dorsi transfer for treatment of irreparable rotator cuff tears. Int Orthop 2010;34:1239-44.
  27. Zastrow RK, London DA, Parsons BO, Cagle PJ. Superior capsule reconstruction for irreparable rotator cuff tears: a systematic review. Arthroscopy 2019;35:2525-34.e1.
  28. Mihata T, Lee TQ, Fukunishi K, et al. Return to sports and physical work after arthroscopic superior capsule reconstruction among patients with irreparable rotator cuff tears. Am J Sports Med 2018;46:1077-83.
  29. Denard PJ, Brady PC, Adams CR, Tokish JM, Burkhart SS. Preliminary results of arthroscopic superior capsule reconstruction with dermal allograft. Arthroscopy 2018;34:93-9.
  30. Stewart RK, Kaplin L, Parada SA, Graves BR, Verma NN, Waterman BR. Outcomes of subacromial balloon spacer implantation for massive and irreparable rotator cuff tears: a systematic review. Orthop J Sports Med 2019;7:2325967119875717.
  31. Senekovic V, Poberaj B, Kovacic L, et al. The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up. Arch Orthop Trauma Surg 2017;137:95-103.
  32. Mori D, Funakoshi N, Yamashita F. Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure. Arthroscopy 2013;29:1911-21.
  33. Bond JL, Dopirak RM, Higgins J, Burns J, Snyder SJ. Arthroscopic replacement of massive, irreparable rotator cuff tears using a GraftJacket allograft: technique and preliminary results. Arthroscopy 2008;24:403-9.e1.
  34. Awad MA, Sparavalo S, Ma J, King JP, Wong I. Interposition graft bridging reconstruction of irreparable rotator cuff tears using acellular dermal matrix: medium-term results. Arthroscopy 2022;38:692-8.
  35. Josipovic M, Vlaic J, Serdar J, et al. Plantaris tendon: a novel graft for anterolateral ligament reconstruction and additional reinforcement for anterior cruciate ligament autografts in combined reconstructive procedures. Knee Surg Sports Traumatol Arthrosc 2020;28:2604-8.
  36. Yammine K, Saghie S, Assi C. A meta-analysis of the surgical availability and morphology of the plantaris tendon. J Hand Surg Asian Pac Vol 2019;24:208-18.