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August 1, 2026Formosan Journal of Musculoskeletal DisordersOpen Access

Revision Surgery for Failed Rotator Cuff-related Surgery with Arthroscopic-assisted Lower Trapezius Tendon Transfer and Reverse Shoulder Arthroplasty in Patients with Preserved Glenohumeral Joint: A Two-year Retrospective Cohort Study

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Authors

YCYu-Tse ChangPCPoyu ChenCYCheng‐Pang Yang

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Overview

Retrospective cohort study compares outcomes of lower trapezius tendon transfer and reverse shoulder arthroplasty in patients with preserved glenohumeral joints, suggesting effective options for...

Key Points

  • This study aims to compare the surgical results and outcomes of LTT and RSA for massive irreparable rotator cuff tears after prior failed surgeries.
  • Retrospective cohort study of 36 patients with MIRCTs treated between January 2018 and May 2022.
  • Patients underwent either arthroscopic-assisted LTT (N=14) or RSA (N=22) with follow-ups averaging 24.9 and 25.0 months, respectively.
  • Pre- and postoperative assessments included range of motion (ROM), pain visual analog scale (VAS), and shoulder function scores.
  • LTT group was significantly younger than RSA group (59.6 vs. 71.3 years, P < 0.001).
  • LTT showed greater improvement in external rotation (39.3° vs. 10.5°, P < 0.001).
  • RSA demonstrated greater improvement in forward flexion (76.8° vs. 32.1°, P = 0.002), while other functional improvements in pain and scores were similar.

Cite This Study

Chang et al. (2026) studied this question.

synapsesocial.com/papers/6a6da778e258b358b3c6c8d6https://doi.org/10.4103/fjmd.fjmd-d-25-00110
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