Location of Repository

Deltoid muscular flap transfer for the treatment of irreparable rotator cuff tears

By Justus Gille, Joerg Suehwold, Arndt-Peter Schulz, Benjamin Kienast, Andreas Unger and Christian Jürgens

Abstract

The purpose of this study was to evaluate the outcome of deltoid muscle flap transfer for the treatment of irreparable rotator cuff tears. In a retrospective study 20 consecutive patients were evaluated. The index procedure took place between 2000 and 2003. Fifteen patients were male, mean age was 62 years. Inclusion criterion was a rotator cuff defect Bateman grade IV. Exclusion criteria were smaller defects, shoulder instability and fractures of the injured shoulder. An open reconstruction with acromioplasty and a pedicled delta flap was performed. Follow up period was mean 42 months. Follow-up included clinical examination, Magnetic Resonance Imaging (MRI) and the Constant and Simple (CS) shoulder tests. According to the Constant shoulder test the results were good in 13 patients, fair in 5 and unsatisfactory in 2. The pre-operative Constant Score improved from mean 25.7 points (±5.3) to 72.3 (±7.8) at follow-up. The mean values for the subcategories of CS increased significantly from 3.9 to 14.4 points for pain and from 4.2 to 15.9 points for activities daily routine (p<0.05). The change in range of motion and strength were not significant (p>0.05). Results of the Simple Shoulder Test showed a significant increase of the mean values from pre-operative 4.3 to 14.7 points post-operatively. MRI showed a subacromial covering of the defect in all cases, all flaps where intact on MRI but always the flap showed marked fatty degeneration. In conclusion, the delta flap is a simple method for the repair of large defects of the rotator cuff leading to satisfying medium results

Topics: Shoulder, rotator cuff, massive rotator cuff tear, deltoid muscle flap, Orthopedic surgery, RD701-811, Surgery, RD1-811, Medicine, R
Publisher: PAGEPress Publications
Year: 2009
DOI identifier: 10.4081/or.2009.e15
OAI identifier: oai:doaj.org/article:19bf00e08076468a89e1d827ec02db41
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/2035-8164 (external link)
  • https://doaj.org/toc/2035-8237 (external link)
  • http://www.pagepress.org/journ... (external link)
  • https://doaj.org/article/19bf0... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.