Latissimus Dorsi Transfer

This book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, and shoulder replacement. In addition to clear, well-illustrated descriptions of arthroscopically assisted surgical technique, readers will find helpful information on biomechanics, surgical indications, post-transfer rehabilitation, and complications and their management. Outcomes from individual studies and meta-analyses are evaluated, and a feature of special interest is the presentation of experiences and results in a series of more than 430 patients using the surgical technique first described by Enrico Gervasi more than 10 years ago. This technique involves modifications in both preparation of the footprint for the latissimus dorsi tendon and the biomechanical features of the tendon transfer and is very different from the procedure proposed byChristian Gerber. The book will be of high value for all orthopedic surgeons who perform this complex shoulder surgery, as well as for residents and fellows-in-training.

1. Massive rotator cuff lesion: arthroscopy repair.- 2. History and biomechanic of the Latissimus dorsi transfer.- 3. Transfer functional Annatomy.- 4. Surgery Indications.- 5. Transfer in posterior and superior cuff lesion: Arthroscopy surgical technique.- 6. Transfer in subscapularis lesion: arthroscopy surgical technique.- 7. Transfer in shoulder replacement.- 8. Transfer rehabilitation.- 9. Complications.- 10. Results and Meta-analysis studies.- 11. Future perspectives.

Gianezio Paribelli, MD, is an Orthopedic Surgeon and Sport Medicine Specialist, Director  of the Arthroscopic and Prosthesis Surgery at private Domus Nova Clinical Institute in Ravenna, (Italy), and Maria Cecilia Hospital MCH (Italy). After taking his first medical degree at the University of Padua, he spent many years at IOR Institute in Bologna, where he highly specialized in endoscopic and arthroscopic procedures.  Dr Paribelli is Past President of Italian Arthroscopy Society (SIA) and member of several national and international scientific societies – SIOT, SIGASCOT, AANA. Speaker at numerous conferences about knee, shoulder, elbow in USA, Europe, Italy and author of many publications among which (2005) Arthroscopy “ The Journal of Arthroscopy and Related Surgery”, complete subscapularis tendon visualization and axillary nerve identification by arthroscopy technique. Dr Paribelli activity was specially devoted to the massive tears cuff surgery, and he experienced more than 400 cases of latissimus dorsi transfer, thus becoming a reference in the field. Frequent lecturer at national and international congresses, he contributed as author to other Springer publications.