Rotator Cuff Repair / Superior Capsular Reconstruction

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* 1. How many years have you been in practice?

0-5

6-10

11-20

>20

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* 2. How many rotator cuff repairs (RCRs) do you perform per year?

0-20

20-50

50-100

100+

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* 3. How many massive RCRs (2+ tendon tear) do you perform per year?

0-10

10-20

20-30

30-50

50+

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* 4. In what percentage of massive RCR surgery (2+ tendons) do you perform a subscapularis tendon repair?

0-25%

26-50%

51-75%

76-100%

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* 5. In what percentage of massive RCR surgery do you perform an interval slide to mobilize tissue?

1-25%

26-50%

51-75%

76-100%

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* 6. In what percentage of massive RCR surgery do you perform some form of subacromial decompression (CA ligament release, acromioplasty, etc.)?

1-25%

26-50%

51-75%

76-100%

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* 7. What is your preferred treatment of the long head of the biceps (LHB) during massive RCR if the patient has no bicipital symptoms and the tendon is relatively healthy?

Tendon preservation

Tenotomy

Tenodesis

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* 8. Which implants and strategies do you prefer in massive RCR? (please check all that apply)

Solid-threaded anchor (e.g. Corkscrew, SwiveLock, etc.)

Soft-anchor (e.g. FiberTak)

Knotless techniques

Knot-tying technique

Double-row repair

Transosseous equivalent repair

Single-row repair

High-strength suture

High-strength tape

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* 9. Do you ever employ any of the following augmentation strategies when performing massive RCR? (please check all that apply)

Platelet-rich plasma (PRP)

Bone-marrow aspirate concentrate (BMAC)

Bone marrow stimulation of the footprint

Synthetic material patch (non-tissue)

Human allograft augmentation (non-SCR)

SCR

Xenograft collagen implant (Regeneten)

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* 10. What is your preferred treatment for Hamada stage 1-2 tears that cannot be completely repaired in a 60 y/o patient?

Partial repair and debridement

Isolated SCR

Combined repair and SCR

Reverse arthroplasty

Subacromial balloon

Partial repair and biceps augmentation

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* 11. What is your preferred treatment for Hamada stage 1-2 tears that cannot be completely repaired in a 70 y/o patient?

Partial repair and debridement

Isolated SCR

Combined repair and SCR

Reverse arthroplasty

Subacromial balloon

Partial repair and biceps augmentation

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* 12. How many superior capsular reconstruction (SCRs) have you performed in the last 6 months?

1-5

5-10

10-20

20+

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* 13. If you have not performed SCR in the last 6 months, are you planning on performing one within the next year if a patient meets your indications?

Yes

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* 14. If not, what is your reason? (please check all that apply)

I do not believe that this procedure will help my patients

I have concerns about the use of human dermal allograft (HDA) for this surgery

I would not perform enough SCRs to feel comfortable doing so occasionally

The procedure is too technically demanding

I prefer performing arthroplasty in this population

I prefer performing partial repair and debridement

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* 15. The remaining questions apply ONLY to those who perform SCR. If you do not perform SCR, you may skip to the end of the survey and exit survey.

answer only if you perform SCR
What is your preferred treatment of the LHB during SCR if the patient has no bicipital symptoms and the tendon is relatively healthy?

Tendon preservation

Tenotomy

Tenodesis

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* 16. answer only if you perform SCR
What is your preferred treatment of the superior labrum when performing SCR?

Complete preservation

Debridement enough to allow for bone preparation

Completely excise for bone preparation

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* 17. answer only if you perform SCR
·What is your preferred graft choice for SCR?

Fascia lata autograft

Human dermal allograft tissue

Other human allograft tissue

Synthetic patch (no tissue or combined)

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* 18. answer only if you perform SCR
What are your preferred glenoid fixation strategies (please check all that apply)

2 implants

3 implants

4 implants (if necessary)

Solid-punched anchor (e.g. SutureTak)

Solid-threaded implant (e.g. Corkscrew)

Soft anchor (e.g. FiberTak)

All-knotless technique

Knot-tying technique

Combined knotless and knot-tying technique

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* 19. answer only if you perform SCR
What are your preferred humeral fixation strategies (please check all that apply)

2 solid-threaded implants medially (e.g. SwiveLock, Corkscrew)

3 solid-threaded implants medially (e.g. SwiveLock, Corkscrew)

2-3 soft implants medially (e.g. FiberTak)

2 solid-threaded implants laterally (double-row)

3 solid-threaded implants laterally (double-row)

2 solid-threaded implants laterally (trans-osseous equivalent)

3 solid-threaded implants laterally (trans-osseous equivalent)

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* 20. answer only if you perform SCR
Which of the following techniques do you try to include in SCR surgery? (Please check all that apply)

Side-to-side repair to the intact/repaired posterior rotator cuff

Side-to-side repair to the subscapularis tendon or anterior interval tissue

Incorporate partial repair of the rotator cuff into the SCR

Incorporate complete repair of the rotator cuff along with the SCR

Acromioplasty

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* 21. answer only if you perform SCR
Which of the following statements do you agree with regarding SCR surgery? (please check all that apply)

I just approximate the graft size

I accurately measure the distance between sutures to size the graft

I add load-bearing sutures between the glenoid and humerus to protect the graft

I believe the SCR functions as a dynamic trampoline

I believe the SCR functions as a subacromial spacer

I intentionally pre-tension the graft by measuring the graft in relative abduction or decreasing the medial-lateral dimensions

I try to use the thickest graft available

Rotator Cuff Repair / Superior Capsular Reconstruction

Question Title

* 1. How many years have you been in practice?

Question Title

* 2. How many rotator cuff repairs (RCRs) do you perform per year?

Question Title

* 3. How many massive RCRs (2+ tendon tear) do you perform per year?

Question Title

* 4. In what percentage of massive RCR surgery (2+ tendons) do you perform a subscapularis tendon repair?

Question Title

* 5. In what percentage of massive RCR surgery do you perform an interval slide to mobilize tissue?

Question Title

* 6. In what percentage of massive RCR surgery do you perform some form of subacromial decompression (CA ligament release, acromioplasty, etc.)?

Question Title

* 7. What is your preferred treatment of the long head of the biceps (LHB) during massive RCR if the patient has no bicipital symptoms and the tendon is relatively healthy?

Question Title

* 8. Which implants and strategies do you prefer in massive RCR? (please check all that apply)

Question Title

* 9. Do you ever employ any of the following augmentation strategies when performing massive RCR? (please check all that apply)

Question Title

* 10. What is your preferred treatment for Hamada stage 1-2 tears that cannot be completely repaired in a 60 y/o patient?

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* 11. What is your preferred treatment for Hamada stage 1-2 tears that cannot be completely repaired in a 70 y/o patient?

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* 12. How many superior capsular reconstruction (SCRs) have you performed in the last 6 months?

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* 13. If you have not performed SCR in the last 6 months, are you planning on performing one within the next year if a patient meets your indications?

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* 14. If not, what is your reason? (please check all that apply)

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* 16. *answer only if you perform SCR*What is your preferred treatment of the superior labrum when performing SCR?

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* 17. *answer only if you perform SCR* ·What is your preferred graft choice for SCR?

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* 18. *answer only if you perform SCR*What are your preferred glenoid fixation strategies (please check all that apply)

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* 19. *answer only if you perform SCR*What are your preferred humeral fixation strategies (please check all that apply)

Question Title

* 20. *answer only if you perform SCR*Which of the following techniques do you try to include in SCR surgery? (Please check all that apply)

Question Title

* 21. *answer only if you perform SCR*Which of the following statements do you agree with regarding SCR surgery? (please check all that apply)

* 16. answer only if you perform SCR
What is your preferred treatment of the superior labrum when performing SCR?

* 17. answer only if you perform SCR
·What is your preferred graft choice for SCR?

* 18. answer only if you perform SCR
What are your preferred glenoid fixation strategies (please check all that apply)

* 19. answer only if you perform SCR
What are your preferred humeral fixation strategies (please check all that apply)

* 20. answer only if you perform SCR
Which of the following techniques do you try to include in SCR surgery? (Please check all that apply)

* 21. answer only if you perform SCR
Which of the following statements do you agree with regarding SCR surgery? (please check all that apply)