{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T14:22:50Z","timestamp":1777990970703,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical success rate, along with risk factors for failure, in patients undergoing latissimus dorsi transfer for the treatment of massive, irreparable, previously failed rotator cuff tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective chart review of prospectively collected data from an institutional shoulder outcome registry. All patients who underwent latissimus dorsi transfer for previously failed rotator cuff repair between 2006 and 2013 with a minimum follow\u2010up period of 1\u00a0year were included in the study. The indications for inclusion were large (\u22652 tendons), retracted, chronic rotator cuff tears with fatty infiltration or atrophy for which prior surgical repair had failed. Preoperative and postoperative American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test scores were collected, along with postoperative Single Assessment Numerical Evaluation scores. Complications and clinical failures (\u0394 in ASES score &lt;17) were recorded. Patient demographic and tear characteristics were evaluated as potential risk factors for failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 22 patients (mean age, 53 \u00b1 6\u00a0years) were included in the study, with a mean follow\u2010up time of 3.4 \u00b1 1.1\u00a0years. Over 63% of patients (n\u00a0= 14) reported undergoing 2 or more prior failed rotator cuff repairs. Patients undergoing latissimus dorsi transfer showed significant improvements in ASES scores (from 35.2 \u00b1 21.9 preoperatively to 55.8 \u00b1 22.9 postoperatively,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), Simple Shoulder Test scores (from 3.5 \u00b1 3.1 preoperatively to 5.2 \u00b1 3.4 postoperatively,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.002), and pain scores (from 5.9 \u00b1 2.8 preoperatively to 4.6 \u00b1 4.3 postoperatively,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002) at final follow\u2010up. The complication rate after latissimus transfer was 27%. The rate of revision to reverse total shoulder arthroplasty was 13.6% (n\u00a0= 3) after a mean of 2.7\u00a0years, and the clinical failure rate was 41% (n\u00a0= 9) at final follow\u2010up. An acromiohumeral interval of less than 7\u00a0mm\u00a0(\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .04) and high\u2010grade fatty infiltration (grade 3 or greater,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004) were significant preoperative risk factors for clinical failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Latissimus dorsi tendon transfer resulted in a clinical failure rate of 41% and complication rate of 27%, with an acromiohumeral interval of less than 7\u00a0mm and high\u2010grade fatty infiltration being associated with postoperative failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.07.034","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T02:05:34Z","timestamp":1576634734000},"page":"88-94","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":44,"title":["High Clinical Failure Rate After Latissimus Dorsi Transfer for Revision Massive Rotator Cuff Tears"],"prefix":"10.1002","volume":"36","author":[{"given":"Lukas N.","family":"Muench","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery UConn Health Center Farmington Connecticut U.S.A."},{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Kia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery UConn Health Center Farmington Connecticut 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