This procedure is reserved for patients with a massive and retracted rotator cuff tear that cannot be directly repaired to the bone. Allograft repair of massive and irreparable rotator cuff. Outcomes after patch use in rotator cuff repair dr. A new technique for patch augmentation of rotator cuff. Twentyone shoulders in 20 patients with a mean age of 58 years underwent patch augmented rotator cuff repair performed by the senior author peter j. Biologic patch for the partial rotator cuff tear aoao annual meeting 2018 atlanta christopher betz, do sports medicine bristol hospital 41 brewster rd bristol, ct 06410. This can be performed in many different ways ranging from open to all arthroscopic procedures and single or double row repair techniques. Rotator cuff repair brisbane knee and shoulder clinic. The cuff consists of four separate muscles that come together as tendons to form a covering around the head of the humerus bone the long bone in the upper arm between the elbow and shoulder. We found that biologic patch augmentation for massive rotator cuff tears with poor tendon.
An additional 400, 000 americans have surgery for related rotator cuff tendonitis or for partial tears. Pei distributes several depuy mitek shoulder products that fall under the rotator cuff category. Some surgeons will choose to send patients through conservative treatment first i. The rotator cuff is a group of tendons and muscles that help keep the ball at the top of your upperarm bone centered in your shoulder socket. Because of the size and chronicity of tears, which contribute to poor softtissue quality, as well as advanced patient age and medical comorbidities, primary repair attempts are accompanied by high rates of tendon retearing. The socket portion of the joint is not naturally deep. Not everyone with a rotator cuff tear will require surgery.
While minimally invasive as compared to traditional shoulder surgery, the recovery time is the similar for both procedures. Robert morgan of orthocarolina concord shares more information about how a patch can repair a rotator cuff tear using bovine collagen. Patch may help recovery after shoulder surgery for. For massive rotator cuff tears defying primary repair, the arthroscopic patch. Stay current when reporting shoulder procedures aapc. Repair of the rotator cuff requires reattachment of the rotator cuff tendon back to the humerus. Robert morgan of orthocarolina concord shares more information about how a patch can repair a rotator cuff tear using bovine. This content is intended for health care professionals in the united states. Andrew carr, ma, chm, frcs, an uk oxford university hospital surgeon and nuffield professor of orthopaedic surgery at the university of oxford, led the development of the patch which is designed to repair damage to the rotator cuff the tendons and muscles that control movement of the shoulder. As a result, theyre getting back to their active lifestyles quicker than ever before. Mansat, anatomic basis for the construction of a musculotendinous flap derived from the pectoralis major muscle. Healix is a threaded anchor designed to provide optimised fixation in rotator cuff repair. Shybut, md is pioneering the use of a breakthrough technology designed as a new option for millions of people suffering from rotator cuff tendon tears in the shoulder joint. The ball, or head, of your upper arm bone fits into a shallow socket in your shoulder blade.
Rotator cuff tears are very common injuries for people of all ages, even though our ability to evaluate and treat shoulder impingement has improved depending on the study you read, it has been reported that % of people over the age of 50 years and 50% of people over the age of 80 years will have a rotator cuff tear. A revolutionary new treatment called the regeneten bioinductive implan t now offered at advanced orthopedics and sports medicine institute aosmi is helping patients with rotator cuff tears heal earlier and faster. Patch offers rapid rotator cuff repair orthopedics this week. The regeneten patch for rotator cuff tears helps patients get back to active lives faster. After repair of a massive rotator cuff tear, how long of a. Mitek launches smaller shoulder repair screw biloine w. Cofield, results of a second attempt at surgical repair of a failed initial rotator cuff repair. Arthrex offers many anchor and surgical technique options for surgeons who prefer to tie knots. Advances in rotator cuff tendon repair university hospi. Despite advances in techniques and repair technology, healing rates have remained relatively stable. Even the simplest of daily tasks, such as getting dressed or.
Surgery to repair a torn rotator cuff most often involves reattaching the tendon to the head of humerus upper arm bone. Failed rotator cuff repairs johns hopkins shoulder and. The purpose of this article is to describe an allarthroscopic technique of patch augmentation for repair of massive rotator cuff tears. For this reason the shoulder is the most mobile joint in the body. Sigman walks through his simplified scr technique to put this procedure within reach of most arthroscopists. Pei clinicians orthopaedics products depuy synthes. However, the treatment results have not been satisfactory compared with those of small to mediumsized rotator cuff tears.
If you have a severe rotator cuff tear that cant be mended, or if a previous repair didnt bring relief, superior capsule reconstruction may help. Symptoms of rotator cuff injuries people of all ages injure their rotator cuffs. Scott sigman shoulder rotator cuff repair cow patch, exparel, rotation implant, shoulder cuff tears, shoulder rotator cuff repair scott a. What is the recovery time from arthroscopic shoulder surgery. Rotator cuff repair is the surgery used to repair a tear in one of these tendons. An estimated 25 percent of people over the age of 60 have a full tear of the rotator cuff in which the rotator cuff tendon no longer fully attaches to the head of the upper arm bone. Rotator cuff repair protocol boston shoulder institute. With arthroscopic rotator cuff repairs suture anchors have been used to. We hypothesized that incorporation of a patch graft at the time of rotator cuff repair would lead to improved clinical outcomes, with few complications and retears, after surgery. New surgical option for serious rotator cuff tears duke. Allarthroscopic patch augmentation of a massive rotator. Small rivets called suture anchors are often used to help attach the tendon to the bone.
It is no means intended to be a substitute for ones. Pietropaoli is pioneering the use of a breakthrough technology designed as a new option for millions of people suffering from rotator cuff tendon tears in the shoulder joint. Depuy mitek launches next generation rotator cuff anchor. The suture anchors can be made of metal or material that dissolves over time, and do not need to be removed. The authors have obtained the patients written informed consent for print and electronic publication of the case report and accompanying images. Mitek launches new rotator cuff anchors orthopedics this. Xenograft patch placement has been described as a possible technique to augment the biology of rotator cuff repair when tendon quality is compromised. The timeline for return to full physical activity after rotator cuff repair is a particularly relevant topic given the active nature of some patients and the desire to return to full recreational. Rotation medical patch rotation medical bioinductive implant. Healix tm suture anchor optimised fixation in rotator cuff repair. Biologic patch augmentation seen as safe, effective.
The purpose of this article is to report the 4 to 10year results of arthroscopic repair of fullthickness rotator cuff tears. New dynacord suture from depuy synthes designed to help. Massive rotator cuff tears defying primary repair have been treated with debridement, arthroscopic subacromial decompression, partial repair, muscletendon transfer, and joint prosthesis, among other techniques. Arthroscopic shoulder surgery is typically performed on rotator cuff injuries such as tendinitis and tears, some of which may be major the tendon has torn totally from the bone.
Specific recovery times depend on your doctors instructions following surgery. Plancher, md, who is using advanced technology an allnatural, biologic patch about the size of a postage stamp to repair and heal a certain type of tendon tear in the rotator cuff. Rotator cuff repair what is the rotator cuff and what does it do. In this case report, we describe an arthroscopic rotator cuff repair failure most likely resulting from decortication of the rotator cuff footprint and subsequent biomechanical failure of the anchor. A recent bioinductive patch has been introduced to improve the vascularity and collagen formation at the site of tendon repair. Massive rotator cuff repair with allarthroscopic patch. Biologic patch augmentation seen as safe, effective treatment for. A partial tear, however, may need only a trimming or smoothing procedure called a debridement. Simplified superior capsule reconstruction scr technique. Successful management of large or massive rotator cuff tears continues to present a clinical challenge. For patients with irreparable rotator cuff tears, a reverse shoulder arthroplasty or a. Get patched up literally, says renowned orthopedic surgeon and sports medicine and arthroplasty specialist, kevin d. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket.
Partial thickness rotator cuff tear with healix transtend. This article contains details about these and other surgical treatments commonly used for rotator cuff tears. Enhance your success after rotator cuff repair surgery. Biomechanical considerations for rotator cuff repairs. Rotator cuff repair protocol south shore orthopedics. Augmentation with biologics patch decrease tension to the repair site by. Improving the biology at the site of a rotator cuff repair has been proposed as a way of increasing healing rates. Patch augmentation has been described as a technique to augment the biology of rotator cuff repair rcr, with promising shortterm results. Regeneten rotator cuff bioinductive implant for rotator cuff repair. The rotational medical rotator cuff system is a new technology designed to improve the treatment of rotator cuff disease. The time and effort it takes to recover from rotator cuff repair surgery needs to be a serious consideration. Mitek launches new rotator cuff anchors orthopedics this week. Uhs robert gillespie, md, and case westerns ozan akkus, phd, have been researching and developing a new way to treat certain rotator cuff injuries. Arthroscopic rotator cuff repair failure resulting from.
When the rotator cuff is torn, you may not be able to raise or even lower your arm. The allograft patch is sewn between the end of the retracted tendon and the humerus bone attachment site, thereby bridging the gap similar to a bridge connecting an island to the mainland. According to the american academy of orthopaedic surgeons aaos, each year, approximately 200,000 americans require shoulder surgery related to repair of the rotator cuff and another 400,000 have surgery for related rotator cuff tendonitis or partial tears. This is a retrospective study evaluating a series of. Next, a human acellular dermal allograft 3 mm arthroflex, arthrex.
585 1382 1546 821 1579 689 635 70 267 224 288 287 1071 1421 333 445 356 1141 1527 1079 701 352 1652 789 251 1550 1135 939 1492 462 17 1451 308 1098 1221 873 1548 1668 423 1182 373 459 417 1196 225 752 785 715