Rotator cuff repair using an original iliotibial ligament with a bone block patch: preliminary results with a 24-month follow-up period

Journal of Shoulder and Elbow Surgery
Shuzou MiharaTetsurou Kisimoto

Abstract

Our first-line choice of surgical method for massive shoulder rotator cuff tears not amenable to primary repair is a patching method that uses a graft consisting of a section of the iliotibial band with an attached bone block. The objective of this study was to examine the functional and structural results. The study included 5 patients who were not eligible for primary repair, received iliotibial band autografts with an attached bone block, and could be monitored for 2 years or more. The grafting method involved suturing the ligament part of the graft to the remaining rotator cuff and fixing the bone part to the greater tubercle of the humerus by means of a suture-bridge technique. Clinical evaluation was performed for 24 months postoperatively. Postoperative structural evaluation was performed using computed tomography at 3 to 4 months and magnetic resonance imaging at 6, 12, and 24 months. A clear improvement was seen at the final clinical evaluation. Fusion of the bone graft with the greater tubercle of the humerus was confirmed on computed tomography in all patients. No retearing was observed on magnetic resonance imaging at the 24-month point, and the thickness of the ligament part of the graft was maintained. The patchin...Continue Reading

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Aug 16, 2014·Arthroscopy Techniques·Shuzou MiharaTetsurou Kisimoto

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Citations

May 28, 2019·Archives of Orthopaedic and Trauma Surgery·Jennifer J BeckRichard E Bowen
Apr 20, 2021·Journal of Clinical Orthopaedics and Trauma·Aziz Haque, Amit Modi
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Paul B Roache

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