Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The “Canopy” Technique

Abstract

Repairability and clinical outcomes of full-thickness rotator cuff tears rely on tendon mobility, tissue quality, and subsequent tension on a repair. While repair of rotator cuff tears tend to yield excellent clinical results, poor tissue quality has been an important factor that has hampered successful outcomes. This Technical Note describes a double-row rotator cuff repair using a SpeedBridge configuration with dermal allograft "canopy" augmentation to bolster the repairable but thinned rotator cuff tissue. This technique employs a unique graft fixation strategy to simplify the procedure. This approach could provide surgeons with a great option when faced with mobile but thinned rotator cuff tissue.

Onlay patch augmentation in rotator cuff repair for moderate to large tears in elderly patients: clinical and radiologic outcomes

“…If the rotator cuff tendon is unable to mobilize enough to cover the footprint or there is excessive tension on the mobilizable tendon, SCR or bridging technique using patch graft should be indicated over primary repair. If the tissue quality is poor for the somehow repairable tear in terms of mobility, it is necessary to provide additional thickness by OPA as we used in this study [ 23 ].…”

Arthroscopic Incomplete Rotator Cuff Repair With Patch Augmentation Using Acellular Dermal Matrix Allograft

“…However, ARCR with patch augmentation is technically challenging due to several difficulties, such as delivering the patch, securing it in the proper location, managing multiple sutures, and extended surgical time. Although several articles have reported relatively simplified techniques, 16 , 17 , 18 , 19 , 20 , 21 we report a systematic and consistent surgical technique to achieve a firm fixation of the patch on the incompletely repaired tendon ( Table 2 ). Thus, this article describes a combined technique of incomplete repair 3 and patch augmentation using the ADM allograft.…”

Augmentation of Arthroscopic Rotator Cuff Repair With Cannulated Dermal Allograft Implant

“…This requires accurate measurement prior to application and the placement of multiple anchors for fixation, leading to significant implant waste, longer surgical times, and the placement of separate implants within the graft. 12 , 13 …”