Complex rotator cuff reconstructions
Superior capsular reconstruction, augmentation with grafts or biological implants and extensive capsulolabral reconstructions.
- What it is
- Some rotator cuff tears cannot be repaired directly: the tendon has retracted, lost quality or the muscle has atrophied. In these cases, reconstruction techniques restore the stability of the humeral head and reduce pain without resorting to a joint replacement.
- When it is indicated
- In massive or chronic tears, in failed previous repairs and in active patients who want to keep their own joint. The choice of technique depends on age, tissue quality and functional expectations.
- How it is performed
- Arthroscopically, a superior capsular reconstruction with a graft, augmentation of the repaired tendon with grafts or biological implants, or extensive capsulolabral reconstructions are performed, depending on the tear pattern.
- Recovery
- Sling protection for longer than after a standard repair, followed by staged physiotherapy. Graft integration sets the pace of strengthening.
- Procedures the doctor performs
- Superior capsular reconstruction
- Rotator cuff augmentation
- Use of grafts or biological implants
- Extensive capsulolabral reconstructions
Other procedures
- Rotator cuff repair
- Shoulder instability and recurrent dislocation
- SLAP tears and biceps pathology
- Acromioclavicular joint injuries
- Shoulder stiffness and adhesive capsulitis
- Shoulder cartilage and arthritis
- Shoulder arthroscopy
This content is general information. It does not replace a medical assessment: every case is evaluated in consultation with physical examination and imaging.