![]() ![]() The bone surfaces at the top edge of your glenoid socket and at the planned graft insertion site on your humerus tuberosity are cleared of debris and freshened to optimise healing.Ī very strong porcine graft is then secured in a bridge fashion across the gap between your socket and your humerus. If your long head of biceps tendon is still present, it is tenotomised. Any old implants or suture material from previous rotator cuff surgeries are removed. Your joint and subacromial space are inspected arthroscopically (keyhole) and cleared of any inflamed tissue. Mr Granville-Chapman will explain to you whether this operation could help you. You must also have some residual rotator cuff tendons posteriorly for the reconstruction to work. If you already have established arthritis then this operation is unlikely to help. Superior capsular reconstruction is not however suitable for all patients with irreparable cuff tears. It also potentially prolongs the life of your shoulder cartilage, as it helps to keep your humeral head centred in the socket during motion. This enables you to use your deltoid muscle to move your arm more easily. ![]() ![]() The aim of the capsular reconstruction is to rebalance your ball and socket joint of the shoulder, which has become compromised by the large rotator cuff tear. It is designed for the younger patient (under 65 years) who has an irreparable rotator cuff tear and a significantly de-functioned shoulder in spite a good physiotherapy programme. This relatively new technique was pioneered by a Japanese surgeon, Dr Mihata. This is a keyhole operation performed under general anaesthesia and regional nerve block. Superior Capsular Reconstruction What is a Superior Capsular Reconstruction (SCR)? ![]()
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March 2023
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