Irrepairable Rotator Cuff Repairs: Latissimus Dorsi Transfers

Description

The presentation delivered by Dr. Stephanie Hinse focuses on the Latissimus Dorsi Transfer, outlining her experiences and insights gained from fellowship training. She highlights key indications for this surgical procedure, emphasizing the importance of patient eligibility such as the absence of irreparable subscapularis tears, evaluating the integrity of surrounding muscles like the deltoid and teres minor, and ensuring a non-arthritic, mobile shoulder.



Dr. Hinse discusses a specific case involving a patient under 50 years old with a history of failed cuff repairs, facing significant challenges in daily activities due to external rotation limitations. She stresses the importance of managing patient expectations, indicating that while the shoulder might not regain full normal function, patients can expect considerable pain relief and enhanced arm control for approximately ten years post-surgery.



Throughout the presentation, she shares practical tips for the procedure, including the use of headlamps during surgery for better visibility and precise techniques for locating and mobilizing the tendon for transfer. As she explains the steps from preparation to execution of the transfer, Dr. Hinse provides insights into surgical techniques, including the use of colored sutures to prevent twisting during the reattachment process.



In conclusion, she emphasizes the significance of selecting the right patients and managing their expectations, which leads to a higher patient satisfaction rate as a result of this surgical intervention.

Specialties