Document Detail

Modified minimally invasive latissimus dorsi transfer in the treatment of massive rotator cuff tears: a two-year follow-up of 26 consecutive patients.
MedLine Citation:
PMID:  19415274     Owner:  NLM     Status:  MEDLINE    
Since its inauguration by Gerber in 1988, the latissimus dorsi transfer has become an established surgical option for non-reconstructable, massive posterosuperior rotator cuff tears. We describe 26 consecutive patients, all of whom underwent a latissimus dorsi transfer using a modified single incision mini-invasive Herzberg transfer. The primary focus of this paper was to compare the applied clinical results of this new technique with the published results of the Gerber technique. Following transfer of the latissimus dorsi to restore external rotation, 26 patients were evaluated. The mean age was 60 +/- 18 years. The patients were examined after surgery at an average of 24 months (range: 12-41). The unweighted Constant score rose from 20 (range: 13-34) to 56 (range: 63-81). The acromiohumeral distance remained statistically unchanged from an initial value of 4.7 mm (1-9 mm) to a postoperative value of 4.8 (2-11 mm). In the Hamada classification the level of rotator cuff defect arthropathy increased from 1.7 (1-3) to 1.8 (1-3). On the basis of its low morbidity rate, the latissimus dorsi transfer in Herzberg's modified technique is a sensible alternative to the technique initially described by Gerber, especially when the initial situation exhibits pre-existing weakness of the deltoid muscle.
Lars J Lehmann; Eckhard Mauerman; Thomas Strube; Katja Laibacher; Hanns-Peter Scharf
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article     Date:  2009-05-05
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-03     Completed Date:  2010-05-27     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  377-83     Citation Subset:  IM    
Orthopädisch-Unfallchirurgisches Zentrum, University of Mannheim, Mannheim Faculty of Medicine of the University of Heidelberg, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Germany.
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MeSH Terms
Arthroscopy / methods*
Health Status Indicators
Middle Aged
Range of Motion, Articular
Recovery of Function
Rotator Cuff / injuries,  physiopathology,  surgery*
Surgical Procedures, Minimally Invasive*
Tendon Injuries / physiopathology,  surgery*
Tendon Transfer / methods*
Tissue and Organ Harvesting
Treatment Outcome

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