Augmentation with a Gore-Tex patch for repair of large rotator cuff tears that cannot be sutured

Patch Augmentation for Massive Rotator Cuff Tears

“…16,[27][28][29][30][31][32] Most of these studies have investigated large-to-massive tears while only a few have investigated smaller tears. 29,30) However, studies on the effectiveness of collagen patch grafts and polypropylene patch grafts are extremely limited. 28) And the fact that many studies do not include control groups makes it difficult to conduct comparative analyses (Table 2).…”

“…28) And the fact that many studies do not include control groups makes it difficult to conduct comparative analyses (Table 2). 17,19,[29][30][31][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] Studies that compare outcomes of graft augmentation with those of other control surgical techniques, such as the conventional repair technique, are summarized in Table 3. 27,28,32,46,[48][49][50] In almost all studies, whichever graft was used, clinical parameters, such as range of motion, the American Shoulder and Elbow Surgeons Evaluation Form (ASES) score, the University of California-Los Angeles (UCLA) score, and the Constant score significantly improved with patch augmentation.…”

Role of Scaffolds in the Reconstruction of Anterior Cruciate Ligament of Knee-Systematic Review

“…All the three prostheses were retracted from the market and a study by Guidoin et al revealed that the factors contributing to prosthesis failure are; inadequate fibre abrasion resistance against osseous surfaces, flexural and rotational fatigue of fibres and loss of integrity of the textile structure due to unpredictable host tissue infiltration [25] . Interestingly, the use of Gore-Tex in a retrospective clinical study on 28 rotator cuff tears showed a great improvement in pain relief, muscle strength and function of the shoulder [26] . Another study by Kollender et al convincing results must be attained before any firm recommendation can be made for the use of the Leeds-Keio ligament as a substitute ACL over the autograft or allograft.…”

Options Before Reverse Total Shoulder Replacement

“…In an attempt to decrease the failure rate and improve the outcomes of massive cuff tears repair, the use of patch grafts was introduced and popularized by various authors. Many varieties of patch materials have been developed and used clinically, including synthetic materials Polyester ligament (Dacron) [100], Gore-Tex soft tissue patch [101], Mersilene mesh [102], Teflon felt [103] and Carbon fibrebre patches [104], allografts freeze*dried rotator cuff [105,106], quadriceps tendon [107], patellar tendon, achilles tendon [107], dermal matrix (Graftjacket) [107], tensor fascia late [108] and xenografts porcine dermal collagen [109,110], porcine small intestinal submucosa [111]. Autografts such as the biceps tendon [112,113] and tensor fascia late [114] have also been used.…”