Functional Assessment of Hybrid Superior Capsular Reconstruction Technique by Combination of Autologous Fascia Lata and Long Head of Biceps Tendon in Cases with Irreparable Rotator Cuff Tears - Case Series.
Year: 2026
Type: article
Abstract: Introduction: Rotator cuff tears (RCT) represent one of the most common causes of shoulder pain requiring a visit to orthopedic surgeon, the proper management of these tears depends on several factors, including patient age, symptoms, tear size, tendon retraction, fatty degeneration of cuff muscles and arthritic changes. In this study we emphasize that a combination of fascia lata and biceps tendon used for superior capsular reconstruction (SCR) gives a better outcome. Materials and Methods: A case series of 11 cases of irreparable RCT (IRCT) regardless the degree of fatty degeneration or atrophy, long head of biceps tendon (LHBT) is intact or has partial tear <20% of diameter with intact attachment to superior labrum, normal tone and power of deltoid muscle and normal pre-operative passive range of motion (ROM) underwent hybrid SCR using combined LHBT and fascia lata and evaluated pre- and post-operative active and passive ROM (forward flexion, abduction, internal and external rotation), Visual Analog Scale pain scores and American Shoulder and Elbow Surgeons scores. Results: Eleven cases met the inclusion criteria and underwent hybrid SCR, the mean follow-up was 24 months ± 2 months. The mean active forward flexion was improved by 83° increased from 29.09° pre-operatively to 111.82° post-operatively, mean active abduction was improved by 95° increased from 28.18° pre-operatively to 123.64° post-operatively, mean active external rotation was improved by 15° increased from 16.36° pre-operatively to 31.36° post-operatively while mean active internal rotation was improved by 3 levels increased from S1 pre-operatively to D12 post-operatively. Conclusion: Hybrid SCR with a combination of fascia lata and LHBT is a valid choice for IRCT with improved radiological and functional outcomes, active ROM and reversal of pseudoparalysis for more than 2-year follow-up.
Source: PubMed
Institutions: Manipal Hospital, Apollo Adlux Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7225564991