Rotator cuff surgery is currently the most common surgical procedure involving the shoulder. Unfortunately despite major technical advances, there is still a significant rate of failure of primary rotator cuff repair, ranging from 10% to 40%. This book describes the diagnosis, classification, assessment, and management of failed rotator cuff repairs. It also explores the etiology of the failed repairs, presents a series of treatment options, and discusses the complications. In a multidisciplinary format it addresses both how to prevent failure and how to diagnose and manage the failed rotator cuff, including imaging, laboratory testing, nutrition, surgery and rehabilitation.
This comprehensive book, published in collaboration with ISAKOS, appeals to all stakeholders in orthopedic medicine and surgery.

I Basic Science

1 Anatomy of the rotator cuff/ Blood supply
2 International perspective of failure.-3 Biomechanical Consequences of rct on the gh joint
4 New Concepts in Biology of repair
5 Reasons for failure of repair
6 Imaging of the failed rotator cuff
7 Biomechanics of repair failure
II Soft tissue procedures for the failed RCR
8 Debridement / tentotomy
9 Revision repair
10 Repair and augmentation: overview
11 Releases and debridement to set up for revision success
12 Repair with biologic augment
13 Repair with interposition graft
14 Repair with biceps graft
15 SCR : dermal patch
16 SCR with IT band
17. Synthetic options
18 Balloon
III Muscle transfers
19 LD transfer
20 Lower trap transfer
IV Replacement options
21 ESR HH when and how
22 Standard RSP
23 Lateralized RSP: glenoid side, European experience
24 Lateralized RSP : The US experience
V Complications
25 Overview of complications of managing the failed rotator cuff
26Stiffness after rcr
27 Infection : Diagnosis and management of the failed infected rcr
28 RSP failure Instabilty
29 Catastrophic failure / Infection of RSP
30 Resection arthroplasty vs arthrodesis vs amputation
31 Rehabilitation of the paitent with a failed rc.