“Current concepts and expert practice report: Augmentation of rotator cuff repairs”

Abstract

Rotator cuff tears are common shoulder injuries expected to increase with the growth of the aging population. Although a small subset of patients with low functional demands can be treated nonoperatively, surgical intervention is a cost-effective solution, which can restore shoulder function and help patients return to activity sooner. While multiple surgical options are available, rotator cuff repair is a highly utilized procedure with varying success. Due to a large proportion of rotator cuff repairs still failing to completely heal, this procedure requires careful planning to achieve anatomical and biomechanically stability. New technology and techniques are being explored to help increase the success of rotator cuff repairs with an increasing focus on augmentation. The current article gives a brief overview of pertinent anatomy, treatment options, and challenges in healing of rotator cuff repairs. Thereafter, the merits of different types of rotator cuff repair augmentation available will be discussed as well as the authors' experience in utilizing biologic augmentation and surgical technique.

Rotator cuff tear reaching the superior half portion of the humeral head causes shoulder abduction malfunction

“…In terms of massive RC tear with rapid progression, aggressive repair is also recommended [6, 9, 24, 27, 33]. Early repair prevents not only MRC tear progression towards global tear, but also enhances fat infiltration of RC tissue, which may greatly increase surgical failure rate [13, 28, 33, 34]. However, this study does not recommend surgery for PSRC tear, as it is rather unnecessary [22, 29].…”

Aktuelle Aspekte der Behandlung der Rotatorenmanschette

“…Repetitive Zug-, Druck-und Scherbelastungen führen zu einem Kontinuum mit Progression tendinopathischer Veränderungen in Partialrupturen und schließlich transmuralen Rupturen [34]. Als Risikofaktoren gelten Rauchen, metabolische Erkrankungen und genetische Faktoren [60,74]. Welche neuen biologischen Therapieansätze hier in Zukunft möglicherweise greifen können, wird im Verlauf dieses Artikels diskutiert.…”

A novel high mechanical and excellent hydrophilic electrospun polyurethane‐silk‐bioactive glass nanofiber film for rotator cuff injury repair

“…Rotator cuff injury, one of the most frequently seen tendon injuries in orthopedic surgery, is the major cause of shoulder joint pain, reduced mobility and weakened function 1 . The incidence of rotator cuff injury is on the rise with the aging of the population and changes in people's lifestyles 2,3 . The rotator cuff injury would often develop into a huge tear until it was irreparable if it had not been intervened in time 4 .…”