Main description:

Rotator cuff surgery is currently the most common surgical procedure involving the shoulder. Unfortunately despite major technical advances, there is still a significant rate of failure of primary rotator cuff repair, ranging from 10% to 40%. This book describes the diagnosis, classification, assessment, and management of failed rotator cuff repairs. It also explores the etiology of the failed repairs, presents a series of treatment options, and discusses the complications. In a multidisciplinary format it addresses both how to prevent failure and how to diagnose and manage the failed rotator cuff, including imaging, laboratory testing, nutrition, surgery and rehabilitation.
This comprehensive book, published in collaboration with ISAKOS, appeals to all stakeholders in orthopedic medicine and surgery.

Contents:

I Basic Science.- 1 Anatomy of the rotator cuff/ Blood supply.- 2 International perspective of failure.-3 Biomechanical Consequences of rct on the gh joint.- 4 New Concepts in Biology of repair.- 5 Reasons for failure of repair.- 6 Imaging of the failed rotator cuff.- 7 Biomechanics of repair failure.- II Soft tissue procedures for the failed RCR.- 8 Debridement / tentotomy.- 9 Revision repair.- 10 Repair and augmentation: overview.- 11 Releases and debridement to set up for revision success.- 12 Repair with biologic augment.- 13 Repair with interposition graft.- 14 Repair with biceps graft.- 15 SCR : dermal patch.- 16 SCR with IT band.- 17. Synthetic options.- 18 Balloon.- III Muscle transfers.- 19 LD transfer.- 20 Lower trap transfer.- IV Replacement options.- 21 ESR HH when and how.- 22 Standard RSP.- 23 Lateralized RSP: glenoid side, European experience.- 24 Lateralized RSP : The US experience.- V Complications.- 25 Overview of complications of managing the failed rotator cuff.- 26 Stiffness after rcr.- 27 Infection : Diagnosis and management of the failed infected rcr.- 28 RSP failure Instabilty.- 29 Catastrophic failure / Infection of RSP.- 30 Resection arthroplasty vs arthrodesis vs amputation.- 31 Rehabilitation of the paitent with a failed rc.