Revision Rotator Cuff Repair and Superior Capsular Reconstruction
What is Revision Rotator Cuff Repair?
Revision rotator cuff repair is performed when a previous rotator cuff repair has failed due to re-tear, improper healing, or degenerative tissue. The procedure aims to restore shoulder function and alleviate pain.
Causes of Rotator Cuff Repair Failure
- Re-tear of the tendon due to overuse or trauma.
- Poor healing of the repaired tendon.
- Weak tendon quality or advanced degeneration.
- Incorrect initial surgical repair.
What is Superior Capsular Reconstruction?
Superior capsular reconstruction (SCR) is an advanced procedure used to restore shoulder function in patients with massive, irreparable rotator cuff tears. It involves using a graft to reconstruct the superior capsule of the shoulder, helping stabilize the joint.
Symptoms Indicating the Need for Revision Surgery
- Persistent shoulder pain despite previous surgery.
- Weakness or instability in the shoulder joint.
- Limited range of motion or stiffness.
- Grinding or popping sensations in the shoulder.
How is Revision Rotator Cuff Repair Performed?
The procedure involves repairing or reconstructing the torn tendon using advanced surgical techniques, which may include:
- Using arthroscopic techniques for minimally invasive surgery.
- Utilizing specialized sutures and anchors for tendon fixation.
- Applying a dermal allograft for superior capsular reconstruction.
Recovery and Rehabilitation
- Wearing a sling for the initial healing phase (approximately 6 weeks).
- Starting passive range of motion exercises post-surgery.
- Gradual progression to active movement and strengthening exercises.
- Full recovery and return to activities within 6-12 months.
