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Rodrigo Alves Beraldo ABSTRACT Beraldo RA. Treatment of irreparable rotator cuff tears: superior capsular reconstruction with fascia lata allograft [dissertation]. São Paulo: “Faculdade de Medicina, Universidade de São Paulo”; 2019. INTRODUCTION: Rotator cuff tear is the most frequent shoulder injury. However, there is still no ideal procedure for treating massive and irreparable tears. Superior capsular reconstruction (SCR) is one of the procedures for treating irreparable supraspinatus tears. This study's aim was to evaluate the safety and efficacy of SCR using a fascia lata allograft. METHODS: Prospective case series of 15 patients with irreparable supraspinatus tear were submitted to SCR using fascia lata allograft. We adopted as the primary outcome the American Shoulder and Elbow Surgeons (ASES) score at 12 months postoperatively. Secondary outcomes were considered: "University of California at Los Angeles" (UCLA) score, Constant-Murley score and "Single Assessment Numerical Rating" (SANE), as well as the range of motion. Radiological variations were also applied by simple radiography and magnetic resonance imaging. RESULTS: Fifteen patients completed 12 months of postoperative follow-up with an increased ASES score from 34.0 to 73.0 (p = 0.005). UCLA, Constant-Murley and SANE scores also presented an improvement regarding the statistics (p = 0.001; p = 0.005 and p = 0.046). There was also an improvement in elevation and external rotation (95o to 140o; p = 0.003 / 30o to 60o p = 0.007). Six patients (40%) demonstrated complete graft healing and presented the best results. CONCLUSION: Superior capsular reconstruction with fascia lata allograft may be a safe, reproducible and effective procedure. Its greatest efficacy was achieved when complete graft healing occurred. Descriptors: Rotator cuff injuries/surgery; Shoulder joint; Joint capsule; Fascia lata/transplantation; Treatment outcome.

Tratamento das lesões irreparáveis do manguito rotador: reconstrução da cápsula superior com aloenxerto de fáscia lata