The Trillat procedure: a systematic review of complications and outcome.

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Abstract

18. Muscles Ligaments Tendons J. 2015 Feb 5;4(4):425-32. eCollection 2014 Oct-Dec. Tendon transfer for irreparable rotator cuff tears: indications and surgical rationale. Merolla G(1), Chillemi C(2), Franceschini V(3), Cerciello S(4), Ippolito G(3), Paladini P(4), Porcellini G(4). Author information: (1)Unit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica - AUSl della Romagna Ambito Territoriale di Rimini, Italy ; Biomechanics laboratory "Marco Simoncelli", D. Cervesi Hospital, Cattolica - AUSl della Romagna Ambito Territoriale di Rimini, Cattolica, Italy. (2)Department of Orthopedics and Traumatology, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy. (3)Department of Orthopedics and Traumatology, Sapienza University of Rome, Rome, Italy. (4)Unit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica - AUSl della Romagna Ambito Territoriale di Rimini, Italy. BACKGROUND: treatment of symptomatic irreparable rotator cuff tears is extremely challenging because, at present, there are no ideal solutions to this problem. Many patients respond favorably to nonsurgical treatment. However, when conservative measures fail to improve the patient's pain and disability, surgery should be considered. METHODS: different surgical techniques are available and the choice of the most appropriate procedure depends on the presenting symptoms, age of the patient, functional demand, medical comorbidities, joint stability and presence of arthritic changes. The transposition of the surrounding muscles to replace the rotator cuff function represents a viable option in the treatment of younger patients without glenohumeral osteoarthritis and with severe functional limitation. PURPOSE: aim of this study is to give an overview of the currently available evidence regarding tendon transfer procedures for irreparable rotator cuff tears. PMCID: PMC4327351