From the Research
The primary research gap in lower latissimus dorsi tendon transfers is the lack of high-quality, long-term outcome data, emphasizing the need for more prospective randomized controlled trials to standardize surgical techniques, patient selection, and rehabilitation protocols, as highlighted in the most recent study 1.
Key Research Gaps
- Standardized surgical techniques: There is a need for more research on the optimal surgical approach, including fixation methods and tensioning strategies, to improve outcomes and reduce complications.
- Long-term outcome data: The current evidence is limited by the lack of long-term follow-up data, making it difficult to fully understand the efficacy and safety of latissimus dorsi tendon transfers.
- Patient selection criteria: The optimal patient selection criteria are not well established, and more research is needed to determine which patients are most likely to benefit from this procedure.
- Rehabilitation protocols: There is a lack of consensus on the optimal post-operative rehabilitation protocol, including immobilization periods and return to activities.
Recent Findings
A recent systematic review and meta-analysis 1 found that latissimus dorsi tendon transfer significantly improves patient-reported outcomes, pain relief, range of motion, and strength, with modest rates of complications and revision surgery at mid-to long-term follow-up.
Future Directions
To address the research gaps, future studies should focus on:
- Prospective randomized controlled trials comparing different surgical techniques and rehabilitation protocols
- Long-term follow-up data to fully understand the efficacy and safety of latissimus dorsi tendon transfers
- Development of standardized patient selection criteria and rehabilitation protocols
- Comparison of latissimus dorsi transfers to other treatment options, such as reverse shoulder arthroplasty or alternative tendon transfers, to determine the most effective treatment for irreparable rotator cuff tears.