Description
In this presentation, Daniel Moya introduces Mario Borroni, who shares insights on the lower trapezius tendon transfer for addressing posterosuperior rotator cuff tears. Mario expresses pride in being part of the event and highlights the significant clinical challenges posed by irreparable rotator cuff tears. He discusses the importance of tendon transfer as a surgical option, particularly for patients with unidirectional deficits in shoulder movement due to rotator cuff injuries.
Mario recalls the historical introduction of tendon transfers, mentioning the pioneering work of Christian Gerber, and explains the anatomical and biomechanical rationale for using the lower trapezius in surgical repairs. He details specific indications and contraindications for this procedure and shares positive outcomes from selected cases while emphasizing the variability in results based on surgical technique and patient selection. Through case examples, Mario demonstrates the surgical steps involved in the tendon transfer, including preparation, grafting, and fixation. He concludes with the importance of patient communication regarding expected outcomes.