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Title: Outcome of latissimus dorsi transfer for irreparable rotator cuff tears
Authors: Debeer, Philippe ×
De Smet, Luc #
Issue Date: Aug-2010
Publisher: Acta Medica Belgica
Series Title: Acta Orthopaedica Belgica vol:76 issue:4 pages:449-455
Abstract: The aim of this retrospective study was to assess the
mid- and long-term functional and radiological
results following latissimus dorsi transfer for symptomatic
irreparable tears of the supra- and infraspinatus
tendons (postero-superior cuff tears).
Twenty-six shoulders with an irreparable posterosuperior
rotator cuff tear were assessed preoperatively
and after latissimus dorsi transfer, using the
Constant score and standard radiographs to determine
the degree of osteoarthritis and to measure the
acromio-humeral distance.
After a minimal follow-up of one year (range : 13 to
124 months) we observed a significant increase in
Constant score from 39 to 60 points at the time of the
last follow-up (p < 0.00001). Eighty-five percent of the
patients were satisfied or very satisfied with the result
and would undergo the same surgery again. An in -
crease in the grade of gleno-humeral osteoarthritis
was noted in 38.5% of the operated shoulders, and
this was associated with a lower Constant score. We
noted a decrease in acromio-humeral distance, indicating
further proximalisation of the humeral head,
but this was not significant (p = 0.049).
ISSN: 0001-6462
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Orthopaedics Section (-)
Research Group for Musculoskeletal Rehabilitation
× corresponding author
# (joint) last author

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