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Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive, Irreparable Rotator Cuff Tears: Technique and Short-Term Follow-Up of Patients With PseudoparalysisKanatlı, UlunayÖzer, MustafaAtaoğlu, Muhammet BaybarsÖztürk, Burak YağmurGül, OrkunÇetinkaya, MehmetAyanoğlu, TacettinAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedParalysisPostoperative PeriodRange of Motion, ArticularRotationRotator CuffRotator Cuff InjuriesSeverity of Illness IndexSuperficial Back MusclesTendon TransferTreatment OutcomeabductionadultArticleclinical articleclinical assessmentclinical evaluationcomparative studyConstant Murley (score)controlled studyfollow uphumanlatissimus dorsi musclelatissimus dorsi tendon transfermusculoskeletal disease assessmentPurpose To describe a modified technique for arthroscopic-assisted transfer of the latissimus dorsi tendon in a selected group of patients with irreparable rotator cuff tears and pseudoparalysis and to evaluate its short-term results. Methods Fifteen patients with irreparable rotator cuff tears and pseudoparalysis treated by arthroscopic-assisted latissimus dorsi tendon transfer were included. The mean patient age was 61.53 ± 6.24 years (range, 52-71 years). Patients were assessed with physical examination, University of California Los Angeles (UCLA) Score and Constant-Murley score, as well as visual analog scale score at a mean follow-up of 26.4 ± 2.58 months (range, 24-31 months). Results At final follow-up, mean UCLA score increased to 27.47 ± 6.31 compared with the preoperative UCLA score of 6.53 ± 2.1 (P <.001). Constant-Murley score was 21 ± 7.41 and 59.73 ± 13.62 (P <.001), visual analog scale pain score was 7.47 ± 1.06 and 2.47 ± 0.91 (P <.001), active forward flexion was 58° ± 21.11° and 130° ± 30.05° (P <.001), active abduction was 51° ± 21.64° and 129.67° ± 25.45° (P <.001), and active external rotation was 13.33° ± 21.68° and 32° ± 18.03° (P <.001) preoperatively and postoperatively, respectively. Mean acromiohumeral distance was 3.13 ± 1.40 mm preoperatively, whereas it was 5.67 ± 1.67 mm postoperatively (P <.001). No significant complications requiring a revision surgery was observed during the final follow-up. Conclusions The modified technique of arthroscopic-assisted transfer of the latissimus dorsi tendon is a feasible, minimally invasive option for the surgical treatment of irreparable rotator cuff tears in a subset of patients with pseudoparalysis. Level of Evidence Level IV, therapeutic case series. © 2016 Arthroscopy Association of North AmericaW.B. Saunders2017Articlehttps://rdlopen.rawdatalibrary.net/r/ebyu/14606https://doi.org/10.1016/j.arthro.2016.09.0230749-8063enArthroscopy - Journal of Arthroscopic and Related Surgeryinfo:eu-repo/semantics/openAccessinfo:eu-repo/semantics/articlehttps://ebyu-rdlopen.rawdatalibrary.net/tr/items/ebyu/14606