Dermal Tuberoplasty for Irreparable Supraspinatus Tears Using Self-Punching, Knotless Fixation

A Biological Spacer to Treat Irreparable Rotator Cuff Tears: A Biomechanical Study Utilizing a Secured Versus Unsecured Tensor Fascia Lata Graft

“…While we chose single-row fixation for our secured graft, both single- 12 and double-row 7,34,46 fixation methods exist. However, biomechanical and clinical differences between the 2 techniques have not been explored yet.…”

“…In addition, the medial edge of the tensor fascia lata graft for both the secured and the unsecured conditions was placed medial to the lateral edge of the acromion, while the lateral edge was placed at the lateral edge of the rotator cuff footprint, a configuration that has been described previously. 7,46 This position was chosen to cover the entire tuberosity as the rotator cuff would and to prevent impingement of the proximal humerus on the lateral acromion in both adduction and abduction. Finally, Mihata et al 27 hypothesized that tensor fascia lata grafts were biomechanically superior to dermal allografts when used in SCR procedures, providing the basis for tensor fascia lata allografts being used in the present procedure.…”

“…Designed to help treat pain and loss of function, 4,11 allograft spacer procedures utilize a graft to act as a spacer in the subacromial space, decreasing pain from impingement of the greater tuberosity on the acromion at the extremes of overhead motion. 32,39 Techniques are still evolving, 7,46 with the aim of decreasing procedural costs and increasing the ease of spacer insertion. With these goals in mind, this study looked to evaluate the biomechanical characteristics of secured versus unsecured tensor fascia lata allografts used in an allograft spacer procedure.…”

Preliminary Outcomes of Arthroscopic Biologic Tuberoplasty in the Treatment of Massive Irreparable Rotator Cuff Tears

“…The variations in technique have been previously described [9][10][11][12]. Briefly, the greater tuberosity is prepared by removing soft tissue with a radiofrequency wand or a burr in reverse mode.…”

“…This led the author to perform biologic tuberoplasty in lieu of SCR for patients with MIRCT, as it was faster, less technically demanding, less costly, and led to much faster recovery [9]. Since then, several authors have described a variation of this technique [10][11][12]. We present the preliminary clinical and functional outcomes of a series of patients who have undergone biologic tuberoplasty.…”