• Muhammet Bozoğlan, Murat Danışman, Tuğcan Demir, Halil Karaca, and Cem Zeki Esenyel.
• From the Orthopaedics and Traumatology Department (Bozoğlan), Izmir Health Sciences University Tepecik Training and Research Hospital, Izmir; and from the Orthopaedics and Traumatology Department (Danışman, Demir, Karaca, Esenyel), Prof. Dr. Ilhan Ozdemir Education and Research Hospital, Giresun, Turkey.
• Saudi Med J. 2023 Feb 1; 44 (2): 164170164-170.

ObjectivesTo investigate the clinical results of lower trapezius (LT) tendon transfer and interpositional repair that were performed simultaneously in patients with massive irreparable rotator cuff tears.MethodsBetween 2018 and 2020 years, 16 patients with massive irreparable rotator cuff tears that were treated with LT tendon transfer and interpositional repair at the same time were included in this study. The mean follow-up period was 29±3 months (24-39 months) and the mean age of patients was 62±9 years (42-73 years). The acromio-humeral distance, active range of motions, Visual Analog Scale (VAS) scores, University of California-Los Angeles (UCLA) scores and Constant-Murley scores were made preoperatively and at the final follow-up.ResultsAt the final follow-up, forward flexion was increased from 109˚±24.7 to 144˚±22.21 (p=0.005), abduction from 60˚±16.33 to 135˚±16.33 (p=0.005) and external rotation from 12˚±16.87 to 35˚±14.34 (p=0.005). Total UCLA scores were 5.9±2.13 to 22.7±5.29 (p=0.005), Constant-Murley scores were 24±9.43 to 50.2±14.28 (p=0.008), VAS scores were 6.1±1.1 to 2.4±1.35 (p=0.007), mean acromio-humeral distances were 4.64±0.85 mm (3.42-6.23 mm) to 6.58 mm (5.25-8.21 mm) (p=0.005) preoperatively and at the final follow-up. Except one patient who had a frozen shoulder any significant complication was detected.ConclusionAdding interpositional repair to the LT tendon transfer in patients with posterior superior irreparable rotator cuff tear seems to have satisfactory short to mid-term clinical outcomes without an increase in complications.Copyright: © Saudi Medical Journal.

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