{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:47:04Z","timestamp":1776908824221,"version":"3.51.2"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":80,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To evaluate the functional outcomes of latissimus dorsi transfer reinforced with an autologous fascia lata graft harvested from the thigh contralateral to the injury to treat irreparable posterosuperior rotator cuff tears (IPSRCTs). The secondary objective was to assess complications related to graft harvesting.<\/jats:p>\n                  <jats:p>The present retrospective functional evaluation involved 17 patients (8 men and 9 women), with a mean age of 62.6 (54\u201373) years and a mean postoperative follow-up period of 21.2 (12\u201345) months. We compared pre- and postoperative University of California, Los Angeles (UCLA) scores and range of motion (ROM), assessed donor-site hip abduction strength and recorded potential associated complications. The determination of correlations between variables used Pearson's coefficient, with p \u2264 0.05 considered statistically significant.<\/jats:p>\n                  <jats:p>The mean postoperative UCLA score was 27.9 (14\u201333) points, representing an improvement of 16.7 points compared to the preoperative mean. Range of motion improved significantly (p\u2009&lt;\u20090.05), with the following final values: elevation, 27.9\u00b0; lateral rotation (LR), 133\u00b0; medial rotation (MR) at T9, all with p\u2009&lt;\u20090.05. No patient presented signs of infection at the graft harvest site; two subjects reported pain in the surgical wound, and one developed a small incisional hernia.<\/jats:p>\n                  <jats:p>This technique was effective in treating IPSRCTs, achieving a 70.6% satisfactory outcome based on the UCLA score and showing significant improvement in ROM. The use of an autologous graft represents a viable option with low complication rates, both at the shoulder and hip.<\/jats:p>","DOI":"10.1055\/s-0046-1819619","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:20:17Z","timestamp":1776907217000},"page":"001-008","source":"Crossref","is-referenced-by-count":0,"title":["Results of Latissimus Dorsi Transfer Associated with the Use of Autologous Fascia Lata Tendon Graft in Irreparable Posterosuperior Rotator Cuff Injuries"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1567-024X","authenticated-orcid":false,"given":"Ricardo Makoto","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Shoulder Surgery Group, Department of Orthopedics and Traumatology, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4742-0366","authenticated-orcid":false,"given":"Guilherme do Val","family":"Sella","sequence":"additional","affiliation":[{"name":"Shoulder Surgery Group, Department of Orthopedics and Traumatology, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9385-1941","authenticated-orcid":false,"given":"Luciana Andrade da","family":"Silva","sequence":"additional","affiliation":[{"name":"Shoulder Surgery Group, Department of Orthopedics and Traumatology, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3439-8428","authenticated-orcid":false,"given":"Thomas Yogo Mendon\u00e7a","family":"Alves","sequence":"additional","affiliation":[{"name":"Shoulder Surgery Group, Department of Orthopedics and Traumatology, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3121-463X","authenticated-orcid":false,"given":"Alberto Naoki","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Shoulder Surgery Group, Department of Orthopedics and Traumatology, Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"113","DOI":"10.2106\/JBJS.E.00282","article-title":"Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears","volume":"88","author":"C Gerber","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"15","key":"ref2","doi-asserted-by":"publisher","first-page":"2544","DOI":"10.2106\/JBJS.I.00912","article-title":"Reverse shoulder arthroplasty for the treatment of irreparable rotator cuff tear without glenohumeral arthritis","volume":"92","author":"P Mulieri","year":"2010","journal-title":"J Bone Joint Surg Am"},{"issue":"03","key":"ref3","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1016\/j.arthro.2012.10.022","article-title":"Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears","volume":"29","author":"T Mihata","year":"2013","journal-title":"Arthroscopy"},{"issue":"05","key":"ref4","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1016\/j.rbo.2017.11.011","article-title":"Superior Capsular Reconstruction with Fascia Lata Allograft for Irreparable Supraspinatus Tendon Tears","volume":"54","author":"M EC Gracitelli","year":"2019","journal-title":"Rev Bras Ortop"},{"issue":"08","key":"ref5","doi-asserted-by":"publisher","first-page":"1346","DOI":"10.1016\/j.jse.2015.12.006","article-title":"Outcome of lower trapezius transfer to reconstruct massive irreparable posterior-superior rotator cuff tear","volume":"25","author":"B T Elhassan","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"issue":"232","key":"ref6","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00003086-198807000-00008","article-title":"Latissimus dorsi transfer for the treatment of massive tears of the rotator cuff. 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