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  • Title: Deltoid flap combined with fascia lata autograft for rotator cuff defects: a histologic study.
    Author: McAdams TR, Knudsen KR, Yalamanchi N, Chang J, Goodman SB.
    Journal: Knee Surg Sports Traumatol Arthrosc; 2007 Sep; 15(9):1144-9. PubMed ID: 17279424.
    Abstract:
    The purpose of this study was to compare the histological characteristics of an autogenous fascia lata graft alone and a fascia lata graft combined with a deltoid flap in the reconstruction of rotator cuff tears. Ten New Zealand white rabbits were divided into two groups. Infraspinatus tendon defects (1 x 1 cm) were created in each animal. Reconstruction consisted of either a fascia lata graft alone or a fascia lata graft combined with a distally based deltoid flap. At 3 months, tissue harvest and histological analysis was performed. Compared to the fascia lata graft alone, there was significantly increased remodeling activity and neovascularization in the group that included a deltoid flap. Also, there was pronounced interdigitation at the graft/flap interface in the latter group. A mutually beneficial relationship may exist when an autogenous fascial graft is combined with a functional deltoid flap for reconstructing large rotator cuff defects.
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