Pedro Pimentãoal Lusiadas Hospital, Lisboa, Portugal
Title: How to deal with massive and irreparable rotator cuff tears in the young population – surgical options we have and my experience with subacromial spacers (balloon InSpace)
Massive irreparable rotator cuff tears under 70 are a difficult challenge we have to deal with, because we should avoid a Reverse Total Shoulder (RTS) at that age.
The options we have are tendon transfers, superior capsule reconstructions with autografts, allografts, and synthetic devices/materials, and subacromial spacers, just to “win” some time before we can go to a more definitive procedure (RTS)
I describe pros and cons of those different methods, and show the al arthroscopic technique I use and the results so far ( InSpace balloon, subacromial spacer)
Specialized in Orthopedics since 1991. Member of the Portuguese Society of Orthopedics and Traumatology, and of The Portuguese Society of Arthroscopy and Sports Traumatology. Past- President of the Portuguese Shoulder an Elbow Surgery Society. International Member of the Arthroscopy Association of North America. Currently works at Hospital dos Lusíadas, Lisboa Portugal, certified by JCI ( Joint Comission International) where he leads a Shoulder Department