Peter N Chalmers1, Robert Z Tashjian2. 1. Division of Sports Medicine, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA. p.n.chalmers@gmail.com. 2. Division of Sports Medicine, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Abstract
PURPOSE OF THE REVIEW: Rotator cuff repair has excellent outcomes for many patients but continues to be suboptimal for large, retracted tears, and revision procedures. In these situations, patch augmentation may be considered in order to improve healing. The purpose of this article is to review the history, graft options, indications, surgical technique, outcomes, and complications associated with arthroscopic patch augmentation for rotator cuff repair. RECENT FINDINGS: Patch augmentation has been shown in several studies to improve healing rates. After multiple investigations into different materials available for patch augmentation, acellular dermal allograft seems to be the graft with the best scientific support. While multiple techniques have been presented, few studies have compared their performance. While the arthroscopic technique for patch augmentation can be challenging, we present a systematic approach to this procedure with the potential to reliably and predictably perform patch augmentation. This technique is a valuable tool for surgeons that treat rotator cuff pathology.
PURPOSE OF THE REVIEW: Rotator cuff repair has excellent outcomes for many patients but continues to be suboptimal for large, retracted tears, and revision procedures. In these situations, patch augmentation may be considered in order to improve healing. The purpose of this article is to review the history, graft options, indications, surgical technique, outcomes, and complications associated with arthroscopic patch augmentation for rotator cuff repair. RECENT FINDINGS: Patch augmentation has been shown in several studies to improve healing rates. After multiple investigations into different materials available for patch augmentation, acellular dermal allograft seems to be the graft with the best scientific support. While multiple techniques have been presented, few studies have compared their performance. While the arthroscopic technique for patch augmentation can be challenging, we present a systematic approach to this procedure with the potential to reliably and predictably perform patch augmentation. This technique is a valuable tool for surgeons that treat rotator cuff pathology.
Authors: Kathleen A Derwin; Stephen F Badylak; Scott P Steinmann; Joseph P Iannotti Journal: J Shoulder Elbow Surg Date: 2010-02-26 Impact factor: 3.019
Authors: Nancy M Lee; Cevat Erisken; Thomas Iskratsch; Michael Sheetz; William N Levine; Helen H Lu Journal: Biomaterials Date: 2016-10-12 Impact factor: 12.479
Authors: Matthew P Abdel; Christopher G Salib; Kristin C Mara; Mark W Pagnano; Kevin I Perry; Arlen D Hanssen Journal: J Bone Joint Surg Am Date: 2018-08-01 Impact factor: 5.284
Authors: Philippe Collin; Jean-François Kempf; Daniel Molé; Nicolas Meyer; Charles Agout; Mo Saffarini; Arnaud Godenèche Journal: J Bone Joint Surg Am Date: 2017-08-16 Impact factor: 5.284
Authors: Markus Scheibel; Anna Brown; Klaus Woertler; Andreas B Imhoff Journal: Knee Surg Sports Traumatol Arthrosc Date: 2006-08-22 Impact factor: 4.342
Authors: Evan S Lederman; Alison P Toth; Gregory P Nicholson; Robert J Nowinski; George K Bal; Gerald R Williams; Joseph P Iannotti Journal: J Shoulder Elbow Surg Date: 2016-04-26 Impact factor: 3.019
Authors: Tracy M Tauro; Kyle R Wagner; Steven F DeFroda; Sarah Muth; Blake M Bodendorfer; Nikhil N Verma; Brian J Cole Journal: Arthrosc Tech Date: 2022-01-06