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      Treatment Strategy for Irreparable Rotator Cuff Tears

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          Abstract

          Recently, patients with shoulder pain have increased rapidly. Of all shoulder disorders, rotator cuff tears (RCTs) are most prevalent in the middle-aged and older adults, which is the primary reason for shoulder surgery in the population. Some authors have reported that up to 30% of total RCTs can be classified as irreparable due to the massive tear size and severe muscle atrophy. In this review article, we provide an overview of treatment methods for irreparable massive RCTs and discuss proper surgical strategies for RCTs that require operative management.

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          Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears.

          Teruhisa Mihata, Thay Lee, Chisato Watanabe … (2013)
          The objective of this study was to investigate the clinical outcome and radiographic findings after arthroscopic superior capsule reconstruction (ASCR) for symptomatic irreparable rotator cuff tears.
          Article 0 comments Cited 203 times – based on 0 reviews     Review now
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            Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders.

            F Sirveaux, L Favard, D Oudet … (2004)
            We reviewed 80 shoulders (77 patients) at a mean follow-up of 44 months after insertion of a Grammont inverted shoulder prosthesis. Three implants had failed and had been revised. The mean Constant score had increased from 22.6 points pre-operatively to 65.6 points at review. In 96% of these shoulders there was no or only minimal pain. The mean active forward elevation increased from 73 degrees to 138 degrees. The integrity of teres minor is essential for the recovery of external rotation and significantly influenced the Constant score. Five cases of aseptic loosening of the glenoid and seven of dissociation of the glenoid component were noted. This study confirms the promising early results obtained with the inverted prosthesis in the treatment of a cuff-tear arthropathy. It should be considered in the treatment of osteoarthritis with a massive tear of the cuff but should be reserved for elderly patients.
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              Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review.

              Matthias A Zumstein, Miguel Pinedo, Jason Old … (2011)
              Article 0 comments Cited 163 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Orthop Surg
                Journal ID (iso-abbrev): Clin Orthop Surg
                Journal ID (publisher-id): CIOS
                Title: Clinics in Orthopedic Surgery
                Publisher: The Korean Orthopaedic Association
                ISSN (Print): 2005-291X
                ISSN (Electronic): 2005-4408
                Publication date (Print): June 2018
                Publication date (Electronic): 18 May 2018
                Volume: 10
                Issue: 2
                Pages: 119-134
                Affiliations
                Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
                Author notes
                Correspondence to: Min Suk Park, MD. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 13620, Korea. Tel: +82-31-787-7206, Fax: +82-31-787-4056, nanbin82@ 123456naver.com
                Article
                DOI: 10.4055/cios.2018.10.2.119
                PMC ID: 5964259
                PubMed ID: 29854334
                SO-VID: aa09b5d5-97d9-4c0f-b8f0-68fca0d6c889
                Copyright © Copyright © 2018 by The Korean Orthopaedic Association
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 05 March 2018
                Date accepted : 11 April 2018
                Categories
                Subject: Review Article

                ScienceOpen disciplines: Surgery
                Keywords: rotator cuff tear,massive rotator cuff tear,irreparable rotator cuff tear
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: rotator cuff tear, massive rotator cuff tear, irreparable rotator cuff tear

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