{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:01:53Z","timestamp":1790805713775,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007834","name":"Ningbo Municipal Natural Science Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007834","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":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report the results of the arthroscopic superior capsule reconstruction (ASCR) technique with a combined fascia lata autograft and synthetic scaffold patch graft for irreparable massive rotator cuff tears (RCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The period for this retrospective study was between December 2016 and December 2020. The criteria for inclusion were patients treated arthroscopically for an incompletely repaired massive RCT (dimension &gt;5 cm and 2 tendons fully torn, intact or reparable subscapularis tendons and teres minor tendon with or without irreparable infraspinatus, a radiological Hamada classification between grade 0 and 4, and a minimum 24\u2010month postoperative follow\u2010up). Clinical outcomes were evaluated preoperatively and at a final follow\u2010up by a visual analog scale (VAS) for pain and range of motion along with the American Shoulder and Elbow Surgeons score (ASES), the University of California Los Angeles score (UCLA), and the Constant\u2010Murley score (CMS). Radiological outcomes were assessed, according to the rotator cuff arthropathy (RCA) and the acromiohumeral distance (AHD) stages. Graft integrity and muscle fatty infiltration were evaluated by magnetic resonance imaging (MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 43 patients were enrolled in the study with a mean follow\u2010up duration of 45.6 months (range: 24 to 64). All clinical scores also improved at the 2\u2010year follow\u2010up (mean: VAS 0.7 [SD 0.7] vs 5.4 [SD 1.1];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001; mean: ASES 92.6 [SD 8.0] vs 34.8 [SD 13.4];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001; mean UCLA 31.5 [SD 3.9] vs 11.0 [SD 3.2];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001; and mean CMS 86.6 [SD 7.2] vs 40.0 [SD 11.6];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and 39 of 43 fascia lata grafts were fully intact on MRI (91%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ASCR with a combined fascia lata autograft and synthetic scaffold patch graft resulted in good functional outcomes, with a high rate of graft healing at the 2\u2010year follow\u2010up. All patients achieved clinically relevant improvement (met minimal clinically important differences [MCID]) on ASES, UCLA, and VAS with improved abduction strength restoration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.02.025","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T21:59:27Z","timestamp":1678831167000},"page":"1800-1810","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Arthroscopic Superior Capsule Reconstruction With Combined Fascia Lata Autograft and Synthetic Scaffold Patch Graft for the Treatment of Irreparable Rotator Cuff Tears Yields Favorable Clinical and Radiographic Outcomes at Minimum 2\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"39","author":[{"given":"Mingguang","family":"Bi","sequence":"first","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minzhe","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoxiang","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaohua","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopedics the Affiliated Lihuili Hospital Ningbo University Ningbo City People\u2019s Republic of 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