Superior Capsular Reconstruction Using a Dermal Allograft Versus Reverse Total Shoulder Arthroplasty for the Treatment of Irreparable Posterosuperior Rotator Cuff Tears in Patients Aged <70 Years: A Comparative Study With Minimum 5-Year Follow-up

In treating irreparable posterosuperior rotator cuff tears in younger patients, RTSA demonstrated superior survivorship (90.1%) compared with SCR with DA (75.0%) at mid-term follow-up. However, in patients without treatment failure, both RTSA and SCR had equal improvements in most PROMs at ≥5 years of follow-up, with some scores favoring SCR in nonfailure cases. Higher sports participation, PCS, and lower disability were noted in the SCR group.

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Publication Details

Journal
Orthopaedic Journal of Sports Medicine
Published
2026-02-01
DOI
https://doi.org/10.1177/23259671251403024
Primary Topic
Shoulder Injury and Treatment
Type
article
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article

Superior Capsular Reconstruction Using a Dermal Allograft Versus Reverse Total Shoulder Arthroplasty for the Treatment of Irreparable Posterosuperior Rotator Cuff Tears in Patients Aged <70 Years: A Comparative Study With Minimum 5-Year Follow-up

Peter J. Millett, Ayham J. Jaber, Jason Long, Christopher J Hawryluk et al.
Orthopaedic Journal of Sports Medicine
Shoulder Injury and Treatment
article

Superior Capsular Reconstruction Using a Dermal Allograft Versus Reverse Total Shoulder Arthroplasty for the Treatment of Irreparable Posterosuperior Rotator Cuff Tears in Patients Aged <70 Years: A Comparative Study With Minimum 5-Year Follow-up

Peter J. Millett, Ayham J. Jaber, Jason Long, Christopher J Hawryluk, Maximilian Hinz, Bradley M. Kruckeberg, CAPT Matthew T. Provencher, Marilee P. Horan, Caleb S. Davis
article en

Abstract

In treating irreparable posterosuperior rotator cuff tears in younger patients, RTSA demonstrated superior survivorship (90.1%) compared with SCR with DA (75.0%) at mid-term follow-up. However, in patients without treatment failure, both RTSA and SCR had equal improvements in most PROMs at ≥5 years of follow-up, with some scores favoring SCR in nonfailure cases. Higher sports participation, PCS, and lower disability were noted in the SCR group.

Orthopaedic Journal of Sports MedicineVol. 14(2)
Heidelberg University (DE), University Hospital Heidelberg (DE), Steadman Clinic (US), Steadman Philippon Research Institute (US)
Quality Education
Openalex Percentile: Top 49%
Shoulder Injury and Treatment
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