A Lasso-Loop Traction Technique for Arthroscopic Superior Capsular Reconstruction

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2020

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Aramberri Gutiérrez, Mikel
Giovanni Tiso D’Orazio
David Gómez-Garrido
Juan-Manuel Antequera-Cano
Mediavilla Arza, Iñaki
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Aramberri-Gutiérrez M, Tiso-D'Orazio G, Gómez-Garrido D, Antequera-Cano JM, Murillo-González JA, Mediavilla-Arza I. A Lasso-Loop Traction Technique for Arthroscopic Superior Capsular Reconstruction. Arthrosc Tech. 2020 Aug 28;9(9):e1423-e1428.
Abstract
Irreparable rotator cuff tears (RCTs) cause shoulder pain and disfunction. Management of RCT patients has classically been difficult due to few treatment options. Since Mihata et al. in 2013 introduced the superior capsular reconstruction (SCR) technique as a treatment option, it has become widespread among surgeons, especially for young active patients in whom reverse shoulder arthroplasty is not recommended. With SCR, a reduced humeral head can be maintained and superior displacement is avoided, improving shoulder pain and restoring active shoulder motion. A variety of grafts may be used, but the surgery can be technically complicated. An arthroscopic lasso-loop traction technique for SCR is described here, which simplifies graft shoulder reduction by traction from the anteromedial and posteromedial portals.
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