Short-term results of rotator cuff repair using GraftJacket as an interpositional tissue-matched thickness graft

Sharma, Nikhil; Refaiy, Ahmed El; Sibly, T.F.

doi:10.1016/j.jor.2018.05.037

Cited by 16 publications

(7 citation statements)

References 13 publications

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“…Sharma et al utilized GraftJacket to bridge the gap in massive cuff tear repairs in 20 patients. 33 At a follow-up of 18 months to 24 months, the OSS improved from 22.0 to 45.5 (P = 0.00148). The authors did not evaluate the integrity of repair radiologically.…”

Section: Resultsmentioning

confidence: 90%

Scaffolds in the management of massive rotator cuff tears: current concepts and literature review

Karuppaiah

Sinha

2019

EFORT Open Reviews

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Injuries to the rotator cuff (RC) are common and could alter shoulder kinematics leading to arthritis. Synthetic and biological scaffolds are increasingly being used to bridge gaps, augment RC repair and enhance healing potential. Our review evaluates the clinical applications, safety and outcome following the use of scaffolds in massive RC repair. A search was performed using EBSCO-Hosted Medline, CINAHL, Cochrane and PubMed using various combinations of the keywords ‘rotator cuff’, ‘scaffold’, ‘biological scaffold’, ‘massive rotator cuff tear’ ‘superior capsular reconstruction’ and ‘synthetic scaffold’ between 1966 and April 2018. The studies that were most relevant to the research question were selected. All articles relevant to the subject were retrieved, and their bibliographies hand searched. Synthetic, biosynthetic and biological scaffolds are increasingly being used for the repair/reconstruction of the rotator cuff. Allografts and synthetic grafts have revealed more promising biomechanical and early clinical results than xenografts. The retear rates and local inflammatory reactions were alarmingly high in earlier xenografts. However, this trend has reduced considerably with newer versions. Synthetic patches have shown lower retear rates and better functional outcome than xenografts and control groups. The use of scaffolds in the treatment of rotator cuff tear continues to progress. Analysis of the current literature supports the use of allografts and synthetic grafts in the repair of massive cuff tears in reducing the retear rate and to provide good functional outcome. Though earlier xenografts have been fraught with complications, results from newer ones are promising. Prospective randomized controlled trials from independent centres are needed before widespread use can be recommended.Cite this article: EFORT Open Rev 2019;4:557-566. DOI: 10.1302/2058-5241.4.180040

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Section: Resultsmentioning

confidence: 90%

Scaffolds in the management of massive rotator cuff tears: current concepts and literature review

Karuppaiah

Sinha

2019

EFORT Open Reviews

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“…The repair was noted to be intact in 76% of patients on follow-up ultrasonography and partially torn in the rest. Further small studies by Venouziou et al, 21 Kokkalis et al, 22 and Sharma et al 23…”

Section: Discussionmentioning

confidence: 93%

Interposition GraftJacket allografts for irreparable rotator cuff tears

Modi

Haque

Deore

et al. 2022

The Bone & Joint Journal

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Aims Long-term outcomes following the use of human dermal allografts in the treatment of symptomatic irreparable rotator cuff tears are not known. The aim of this study was to evaluate these outcomes, and to investigate whether this would be a good form of treatment in young patients in whom a reverse shoulder arthroplasty should ideally be avoided. Methods This prospective study included 47 shoulders in 45 patients who underwent an open reconstruction of the rotator cuff using an interposition GraftJacket allograft to bridge irreparable cuff tears, between January 2007 and November 2011. The Oxford Shoulder Score (OSS), pain score, and range of motion (ROM) were recorded preoperatively and at one year and a mean of 9.1 years (7.0 to 12.5) postoperatively. Results There was significant improvement in the mean OSS from 24.7 (SD 5.4) preoperatively to 42.0 (SD 6.3) at one year, and this improvement was maintained at 9.1 years (p < 0.001), with a score of 42.8 (SD 6.8). Similar significant improvements in the pain score were seen and maintained at the final follow-up from 6.1 (SD 1.6) to 2.1 (SD 2.3) (p < 0.001). There were also significant improvements in the ROM of the shoulder, and patient satisfaction was high. Conclusion The use of an interposition human dermal allograft in patients with an irreparable rotator cuff tear leads to good outcomes that are maintained at a mean of nine years postoperatively. Cite this article: Bone Joint J 2022;104-B(1):91–96.

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“…Venouziou et al 23 and Sharma et al 24 have shown significant improvements in outcomes following open reconstructions. Kokkalis et al 25 also treated 21 patients with a similar technique showing an improvement in the ASES score from 25.2 to 74.2 and a reduction in pain VAS score from 7.6 to 1.8.…”

Section: Allograftsmentioning

confidence: 98%

Interposition grafting for irreparable rotator cuff tears: Systematic review and specialist practice report

Haque

Modi

2021

Journal of Clinical Orthopaedics and Trauma

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The treatment of symptomatic irreparable rotator cuff tears poses significant challenges to both patients and shoulder surgeons. Although reverse shoulder arthroplasty provides reliably good outcomes in the elderly, it is not a good option in younger patients. Various surgical techniques have been proposed for the treatment of irreparable rotator cuff tears; however, no gold standard currently exists. Interposition grafting is used when the rotator cuff cannot be fully repaired onto its footprint, and the remaining defect is bridged with either an allograft, autograft, xenograft or a synthetic graft. This review aims to present the literature on the use of various interposition grafts and techniques to treat large or massive irreparable rotator cuff tears and provide a specialist practice report.

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Short-term results of rotator cuff repair using GraftJacket as an interpositional tissue-matched thickness graft

Cited by 16 publications

References 13 publications

Scaffolds in the management of massive rotator cuff tears: current concepts and literature review

Scaffolds in the management of massive rotator cuff tears: current concepts and literature review

Interposition GraftJacket allografts for irreparable rotator cuff tears

Interposition grafting for irreparable rotator cuff tears: Systematic review and specialist practice report

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