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- Title
Deltoid flap combined with fascia lata autograft for rotator cuff defects: a histologic study.
- Authors
McAdams, Timothy R; Knudsen, Karl R; Yalamanchi, Naveen; Chang, James; Goodman, Stuart B
- Abstract
The purpose of this study was to compare the histological characteristics of an autogenous fascia lata graft alone and a fascia lata graft combined with a deltoid flap in the reconstruction of rotator cuff tears. Ten New Zealand white rabbits were divided into two groups. Infraspinatus tendon defects (1 x 1 cm) were created in each animal. Reconstruction consisted of either a fascia lata graft alone or a fascia lata graft combined with a distally based deltoid flap. At 3 months, tissue harvest and histological analysis was performed. Compared to the fascia lata graft alone, there was significantly increased remodeling activity and neovascularization in the group that included a deltoid flap. Also, there was pronounced interdigitation at the graft/flap interface in the latter group. A mutually beneficial relationship may exist when an autogenous fascial graft is combined with a functional deltoid flap for reconstructing large rotator cuff defects.
- Subjects
ANIMAL experimentation; AUTOGRAFTS; COMPARATIVE studies; ORGAN donation; FASCIAE (Anatomy); SURGICAL flaps; RESEARCH methodology; MEDICAL cooperation; ORTHOPEDIC surgery; RABBITS; RESEARCH; ORGAN rupture; ROTATOR cuff; EVALUATION research; TRANSPLANTATION of organs, tissues, etc.
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2007, Vol 15, Issue 8, p1144
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-006-0281-9