CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(05): 591-596
DOI: 10.1016/j.rbo.2017.11.011
Nota Técnica | Technical Note
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Superior Capsular Reconstruction with Fascia Lata Allograft for Irreparable Supraspinatus Tendon Tears[*]

Article in several languages: português | English
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
Rodrigo Alves Beraldo
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
Eduardo Angeli Malavolta
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
Jorge Henrique Assunção
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
Danilo Ricardo Okiishi de Oliveira
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
,
Arnaldo Amado Ferreira Neto
1  Instituto de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brasil
› Author Affiliations
Further Information

Publication History

06 September 2017

07 November 2017

Publication Date:
09 October 2019 (online)

Abstract

Superior capsular reconstruction is a recently described procedure for the treatment of irreparable supraspinatus tendon tears. Graft options that have been previously described include autogenous fascia lata and decellularized dermal graft. No studies were published with the use of fascia lata allograft. The purpose of this technical note is to describe the surgical technique of superior capsular reconstruction using fascia lata allograft. The procedure is performed by arthroscopic visualization, with the patient positioned in the lateral decubitus position. The authors describe a technique based on the use of a double-pulley knot in the glenoid and greater tuberosity, facilitating the procedure and allowing the graft to be brought into the subacromial space in the definitive position, with the appropriate tension. The allografts are available from this institution's tissue bank, cryopreserved and submitted to microbiological and histopathological evaluation. Superior capsular reconstruction is a promising surgery. The technique described in the present technical note shows a viable arthroscopic alternative, with a smaller number of anchors when compared with other techniques.

* Study developed at the Shoulder and Elbow Group, Institute of Orthopedics and Traumatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. Originally Published by Elsevier Editora Ltda.