Arthroscopically-assisted latissimus dorsi tendon transfer in lateral decubitus position is a variant of the safe andreproducible surgical technique

Treatment of massive irreparable superior posterior rotator cuff tears remain a surgical problem. The aim of this article is to present a reprodu^He safe andeffective variant of arthroscopy-assisted LD tendon transfer technique in lateral decubitus position. Surgical technique divides into 5 steps, and only 1 step-isperformed open. The advantages of the arthroscopic procedure are the possibility of repairing the subscapularis tendon; the lateral decubitus position whichallows keep hypotension safely for patients, as a result - gets improved visualization; augmentation of latissimus dorsi tendon with allograft; possibility ofperforming tendon harvesting with bone block. Performed technique of arthroscopic-assisted LD tendon transfer is reproduсible safe and effective, which usedin our Institute since 2017. Currently, about 20 procedures were performed. Mid-term results will be planned to publish soon.