Subacromial Balloon Spacer Implantation

Outcomes of arthroscopic tuberoplasty for symptomatic irreparable rotator cuff tendon tear without pseudoparalysis

“…Several studies published recently have shown favorable results. 18 , 22 , 24 Notably, Stewart et al 18 conducted a systematic review that included 12 studies for final analysis showing improvements in mean Constant Scores from 18.5 to 49.6 at an average of 22.9 months after implantation. These studies also describe similarly low rates of complications, revision surgeries, or clinical failures.…”

Modified Technique for Arthroscopic Bursal Acromial Reconstruction Utilizing Acellular Dermal Allograft

“…Wright has described positive results using a copolymer balloon filled with saline to create a space between the humeral head and acromion, which ultimately reduces the forces across the glenohumeral joint. 10 This procedure does not involve debridement of the acromion, nor does it require any general anesthesia. Another study found balloon spacer implementation can be technically simple and have favorable patient outcomes, but currently, the long-term efficacy of the procedure remains undetermined.…”

“… 11 As described by Wright, another pitfall is the limitation of the surgeon’s view. 10 A final consideration is this procedure is not Food and Drug Administration-approved at this time for patients in the United States.…”

Treatment Options for Massive Irreparable Rotator Cuff Tears

“…Currently, a randomized adaptive clinical trial in the UK comparing the balloon spacer with debridement (START: REACTS trial) is underway, and a large multi-center randomized controlled trial comparing the balloon spacer to partial repair was recently completed in the USA, though results have yet to be published [46,47]. These trials will also ideally clarify specific indications for balloon spacers, which may include patients without arthritis who have intact passive range of motion and an intact subscapularis [48].…”