Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique

The clinical success of Mihata superior capsule reconstruction with fascia lata autograft is directly related to the very high healing rate and very low retear rate of the procedure. These are the result of executing the 3 key components of the procedure correctly. The first key component is the har...

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Main Authors: Paul B. Roache, M.D., Arati Mallik Dunbar, M.D.
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005802
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author Paul B. Roache, M.D.
Arati Mallik Dunbar, M.D.
author_facet Paul B. Roache, M.D.
Arati Mallik Dunbar, M.D.
author_sort Paul B. Roache, M.D.
collection DOAJ
description The clinical success of Mihata superior capsule reconstruction with fascia lata autograft is directly related to the very high healing rate and very low retear rate of the procedure. These are the result of executing the 3 key components of the procedure correctly. The first key component is the harvesting of the graft including the intermuscular septum. The second component is the preparation of the autograft using the intermuscular septum to create a thick and stiff graft construct. The third component is the placement and fixation of the graft in a properly prepared shoulder. We describe our technique for preparing the shoulder and passing, placing, and fixing the autograft for superior capsule reconstruction per the Mihata technique.
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publishDate 2025-05-01
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series Arthroscopy Techniques
spelling doaj-art-a8fc8c1c7af04f3c9f49fb44b7ba4d692025-08-20T03:26:39ZengElsevierArthroscopy Techniques2212-62872025-05-0114510341210.1016/j.eats.2024.103412Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction TechniquePaul B. Roache, M.D.0Arati Mallik Dunbar, M.D.1Address correspondence to Paul B. Roache, M.D., UCSF Health, Saint Francis Hospital, 900 Hyde St, Ste 501, San Francisco, CA 94109, U.S.A.; UCSF Health, Saint Francis Hospital, San Francisco, California, U.S.A.UCSF Health, Saint Francis Hospital, San Francisco, California, U.S.A.The clinical success of Mihata superior capsule reconstruction with fascia lata autograft is directly related to the very high healing rate and very low retear rate of the procedure. These are the result of executing the 3 key components of the procedure correctly. The first key component is the harvesting of the graft including the intermuscular septum. The second component is the preparation of the autograft using the intermuscular septum to create a thick and stiff graft construct. The third component is the placement and fixation of the graft in a properly prepared shoulder. We describe our technique for preparing the shoulder and passing, placing, and fixing the autograft for superior capsule reconstruction per the Mihata technique.http://www.sciencedirect.com/science/article/pii/S2212628724005802
spellingShingle Paul B. Roache, M.D.
Arati Mallik Dunbar, M.D.
Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
Arthroscopy Techniques
title Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
title_full Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
title_fullStr Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
title_full_unstemmed Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
title_short Placement and Fixation of Fascia Lata Autograft for Mihata Superior Capsule Reconstruction Technique
title_sort placement and fixation of fascia lata autograft for mihata superior capsule reconstruction technique
url http://www.sciencedirect.com/science/article/pii/S2212628724005802
work_keys_str_mv AT paulbroachemd placementandfixationoffascialataautograftformihatasuperiorcapsulereconstructiontechnique
AT aratimallikdunbarmd placementandfixationoffascialataautograftformihatasuperiorcapsulereconstructiontechnique