Rotator cuff repair with augmentation graft reinforcement. During surgery, surgeons can drape this biodegradable patch over the tendon that sits on the shoulder bone. These patches include both allograft and xenografts. Regardless of their origins, these products are primarily composed of purified type i collagen. The patch is sewn into the rotator cuff tendon and a repair will involve using strong sutures and anchors into the bone to secure the graft and tendon. Pdf the response of tenocytes to commercial scaffolds used. A new technique for patch augmentation of rotator cuff repairs. Failed rotator cuff repairs johns hopkins shoulder and elbow. Rotator cuff grafts are ideally used for 2tendon tears 3 cm in length before repair.
Similar to sewing a patch over a repaired hole in your jeans, implanting a. Management of rotator cuff tears with an extracellular matrix patch. Jun 18, 2010 the resected tendon may be used as a graft for rotator cuff repair without any additional skin incision, which could reduce both the surgical invasion and the risk of infection. In this procedure, suture anchors are generally used to fix the patch graft to the footprint on the side of the greater tuberosity. Healing rates for challenging rotator cuff tears utilizing an acellular human dermal reinforcement graft. A rotator cuff repair is performed with an ecm graft. Their ultimate recommendation was for limited use of these patches for augmentation of tendon repair. Rotator cuff repair with graft augmentation matthew driscoll md. In all instances, attempts at rotator cuff repair should be made. Healing rates for challenging rotator cuff tears utilizing. Biologic patch augmentation seen as safe, effective. Arthroscopic replacement of massive, irreparable rotator cuff tears using a.
Driscoll in austin, texas offers graft augmentation for arthroscopic rotator cuff. The response of tenocytes to commercial scaffolds used for rotator. The lhb tendon patch grafting may be one of the useful options for surgical treatment of irreparable massive rotator cuff tears. However, chronic retracted cuff tears are more likely to require patch augmentation onlay. A viable osteochondral allograft for articular cartilage replacement of the first. Learn more about this innovative surgery to repair a rotator cuff injury that is complex or where previous rotator cuff surgeries have failed. In specific situations, adjuncts may be used to assist in healing such as a marrow stimulation healing response technique or an injection of platelet rich plasma. The response of tenocytes to commercial scaffolds used for. Chaudhury et al 50 evaluated the key mechanical properties of rotator cuff patches and found significant variability and inferiority compared with the human rotator cuff tendon. However, tendontobone healing is frequently difficult to achieve, and bonetobone healing seems more advantageous for the repair of the rotator cuff attachment site. New surgical option for serious rotator cuff tears duke health. Patch offers rapid rotator cuff repair orthopedics this week. We found that biologic patch augmentation for massive rotator cuff tears with poor tendon quality was a safe and effective procedure, maximilian petri, md, said in his presentation at the. Healing rates for challenging rotator cuff tears utilizing an.
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