Arthroscopic Superior Capsule Reconstruction for Irreparable Posterosuperior Rotator Cuff Tears with Autologous Fascia Lata Graft

This study explores the efficacy of superior capsule reconstruction (SCR) using fascia lata autograft for treating irreparable rotator cuff tears. Based on our experience and existing literature, SCR has demonstrated promising outcomes, offering improved shoulder stability, reduced pain, and prevention of humeral head migration. Patients undergoing SCR with fascia lata autograft achieved near-normal shoulder range of motion postoperatively, with maintained acromio-humeral distance observed in radiographic follow-ups. Various graft modifications, including the use of dermal grafts and the long head of the biceps tendon, have been explored. Yet, studies indicate the superior thickness and tensile strength of fascia lata autograft supports more durable outcomes. The SCR protocol detailed in this study includes meticulous graft harvesting, arthroscopic examination, and precise graft placement with suture anchors to ensure stability. Postoperative care involves immobilization followed by gradual rehabilitation, promoting effective healing and functional recovery. This approach highlights SCR's potential as a valuable treatment for active patients with irreparable rotator cuff tears.