Tendon transfer for irreparable cuff tear

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2 Tendon transfer for irreparable cuff tear

3 Springer Paris Berlin Heidelberg New York Hong Kong Londres Milan Tokyo

4 Philippe Valenti Tendon transfer for irreparable cuff tear

5 Philippe Valenti Orthopaedic Surgery Shoulder, elbow and hand Institut de la Main 6, square Jouvenet Paris ISBN : Springer Paris Berlin Heidelberg New York Springer-Verlag, Paris, 2011 Printed in Springer-Verlag est membre du groupe Springer Science + Business Media This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permissions for use must always be obtained from Springer. Violations are liable for prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Nadia Ouddane Cover Illustration: Anne Saunier Lay-out: Desk

6 GECO book series coordinated by P. Kehr The aim of the GECO book series, to which this book belongs, is to perpetuate the work of GECO Groupe d études pour la Chirurgie osseuse (Group for the Study of Bone surgery) and to celebrate the thirty years of existence of the group. Born in 1976, GECO was at the beginning the meeting place of a group of young surgeons in orthopedics and traumatology who brought together their patient files in order to carry out prospective studies and improve their knowledge. Very soon the group, through an annual meeting that was organized with the support of Fournitures Hospitaliers (FH Orthopedics), gathered in January of each year a growing number of orthopedic surgeons from Europe - over 300 at present - at its round tables and its oral presentations, mostly from but also from all over the world. GECO today is a group of over 25 permanent members and six specialty groups representing the major sub-specialties of orthopedics and traumatology. With a regular publication rhythm of one to two books per year, the GECO has given himself given as a goal to provide the community of orthopedic surgery the fruit of his reflections and its work. In the same book series: Dambreville A., Dubrana F., Kehr P., Petit R. et al., Les prothèses de hanche sans ciment de première intention. Techniques opératoires. Problèmes et solutions. Springer-Verlag, Paris Gacon G., Humer J., Les prothèses tricompartimentaires du genou de première intention. Techniques opératoires. Problèmes et solutions. Springer-Verlag, Paris Favreul E., Dambreville A., Gacon G., Kehr P., Classifi cations et scores en chirurgie orthopédique et en traumatologie. Volume 1 : rachis, hanche, cuisse, genou. Springer-Verlag, Paris Thanks to: ( for its contribution and its financial support.

7 The illustrations in the following chapters have been drawn by Marc Donon. Chapters: Results of latissimus dorsi tendon in primary Arthroscopic humeral head interference screw fi xation Deltoid fl ap for irreparable rotator cuff tear The myotendinous advancements of supra and infraspinatus muscles Transfer of the pectoralis major Reverse shoulder prosthesis combined with latissimus dorsi Illustrations: Marc Donon Illustration médicale

8 Contributors Yves Bellumore Department of Orthopaedics and Traumatology Clinique d Occitanie 20, avenue Bernard IV Muret Eric Berthonnaud Engineer Shoulder and Elbow Unit Herriot Hospital 5, Place d Arsonval Lyon Cedex 03 Luis-Carlos Diaz Institut de la Main 6, square Jouvenet Paris Michel Colmar Centre Hospitalier Privé de Saint-Brieuc Clinique Sainte Jeanne d Arc 9, rue du Vieux Séminaire Saint-Brieuc Joannès Dimnet Engineer Shoulder and Elbow Unit Herriot Hospital 5, Place d Arsonval Lyon Cedex 03 A. Dotziz Department of Orthopaedics and Traumatology CHU Dupuytren 2, avenue Martin Luther King Limoges Cedex Sebastian Ferriere Department of Orthopaedics and Traumatology University Hospital Centre of Toulouse-Purpan Place du Docteur Baylac Toulouse Jérôme Garret Orthopaedic surgery Shoulder, elbow and hand Clinique du Parc 155, boulevard Stalingrad Lyon Jean-Emmanuel Gedouin Nouvelles cliniques Nantaises 3, rue Eric Tabarly Nantes Cedex Sophie Grosclaude Orthopaedic surgery Shoulder, elbow and hand Clinique du Parc 155, boulevard Stalingrad Lyon Guillaume Herzberg Head of Shoulder and Elbow Unit Herriot Hospital 5, Place d Arsonval Lyon Cedex 03 Ibrahim Kalouche Department of Orthopaedic Surgery CHU Bicêtre 78, rue du Général Leclerc Le Kremlin-Bicêtre

9 VIII Tendon transfer for irreparable cuff tear Jean Kany Department of Orthopaedic and Traumatological Surgery Nouvelle clinique de l union Boulevard de Ratalens Saint-Jean Alim Kaouar Clinique Jouvenet Institut de la Main 6, square Jouvenet Paris Denis Katz Department of Orthopaedic and Traumatological Surgery Clinique du Ter BP Plœmeur Cedex Alexandre Kilinc Department of Orthopaedic Surgery Saint-Antoine Hospital 184, rue du Faubourg Saint-Antoine Paris H.-A. Kumar Department of Orthopaedic and Traumatological Surgery Nouvelle clinique de l union Boulevard de Ratalens Saint-Jean Christophe Lévigne Shoulder Department Clinique du Parc 155, boulevard Stalingrad Lyon Michel Mansat Department of Orthopaedics and Traumatology University Hospital Centre of Toulouse-Purpan Place du Docteur Baylac Toulouse Pierre Mansat Department of Orthopaedics and Traumatology University Hospital Centre of Toulouse-Purpan Place du Docteur Baylac Toulouse Jean-Marie Postel Department of Orthopaedic and Traumatological Surgery Clinique Arago 96, boulevard Arago Paris Philippe Sauzières Institut de la Main 6, square Jouvenet Paris Oliver Schoierer Shoulder and Elbow Unit Herriot Hospital 5, Place d Arsonval Lyon Cedex 03 Hervé Thomazeau General Surgery CHRU Hôpital Sud 16, boulevard de Bulgarie BP Rennes Cedex 2 Laurent Thomsen Department of Orthopaedic and Traumatological Surgery Saint-Antoine Hospital 184, rue Faubourg Saint-Antoine Paris

10 Contributors IX Jean-Pierre Urien Shoulder and Elbow Unit Herriot Hospital 5, Place d Arsonval Lyon Cedex 03 Philippe Valenti Orthopaedic surgery Shoulder, elbow and hand Institut de la Main 6, square Jouvenet Paris

11 Contents Foreword... XV Biomechanical analysis of tendon transfers for irreparable rotator cuff tears... 1 Introduction... 1 Material and methods Study of biomechanical properties of shoulder girdle muscles Study of the point of fixation of latissimus dorsi MTT... 3 Results Comparative biomechanical properties of shoulder girdle muscles Study of the point of fixation of latissimus dorsi MTT... 6 Discussion... 6 References Latissimus dorsi transfer for massive and irreparable rotator cuff tears Indications for surgery Operative technique References Results of latissimus dorsi tendon transfer in primary or salvage reconstruction of massive, irreparable rotator cuff tears Introduction Materials and methods Statistical tests Results Discussion References... 37

12 XII Tendon transfer for irreparable cuff tear Arthroscopic humeral head interference screw fixation for latissimus dorsi transfer in massive and irreparable posterosuperior cuff tear Introduction Classic operative technique: direct IFS Technique with closed tunnel Reverse IFS: TLS technique Technique with classic anchors (Milliet) References Teres major flap: surgical anatomy, technique of harvesting, methods of fixation, postoperative management Introduction Anatomy of the teres major muscle Descriptive anatomy Dimensions of the teres major Vascular supply Nerve supply Study of the tension of the vascular-nervous pedicle after teres major transfer Biomechanics of teres major flap Surgical technique Anesthesia Installation Superior incision Posterior incision Teres major harvesting Transfer of the teres major Closure Postoperative Clinical experience Patients Results Discussion References Deltoid flap for irreparable rotator cuff tear: indications, technique and results Introduction Indications and contraindications Preoperative planning... 66

13 Contents XIII Surgical technique Postoperative management Material and methods Results Chronologic evolution Influence of the age and tear extension Discussion Conclusion References The myotendinous advancements of supra and infraspinatus muscles in the treatment of irreparable retracted tears of the rotator cuff Introduction Technique Supraspinatus advancement Infraspinatus advancement Indications Supraspinatus advancements Infraspinatus advancements Results (Symposium SO.F.C.O.T 2003) References Pectoralis major transfer: surgical anatomy, technique of harvesting, methods of fixation, postoperative management Surgical anatomy Origin Direction Insertion Innervation Vascularization Action Technique of harvesting and methods of fixation Installation Approach Dissection and cuff assessment PM tendon transfer Tendon fixation Postoperative management References... 93

14 XIV Tendon transfer for irreparable cuff tear Transfer of the pectoralis major for the treatment of irreparable subscapularis tear: review of 15 cases Introduction Material and methods Indications and contraindications Anatomical surgery... - Surgical technique Tendon fixation Postoperative management Results Complications Discussion References Reverse shoulder prosthesis combined with latissimus dorsi and teres major transfer for a lack of active elevation and external rotation Historical perspective: Introduction Indications and contraindications Preoperative planning Techniques Surgical approach Harvesting and preparation of rerouted LD and TM transfer Preparation of the humerus Preparation of the glenoid... - Reduction of the prosthesis Fixation of the both transferred tendons Postoperative management Results and complications Conclusion References Algorithm of indications in symptomatic irreparable cuff tear Indications