The Benefit of Synthetic Versus Biological Patch Augmentation in the Repair of Posterosuperior Massive Rotator Cuff Tears

Abstract

Polypropylene patch augmentation of rotator cuff repair was demonstrated to significantly improve the 36-month outcome in terms of function, strength, and retear rate.

Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears

“…Many treatment options exist, including debridement, partial rotator cuff repair, 1 patchaugmented rotator cuff repair, 2 bridging rotator cuff reconstruction with a graft, 3 latissimus dorsi tendon transfer, and superior capsule reconstruction. 4 If joint space narrowing with cuff tear arthropathy is present or when the subscapularis is also irreparable, reverse total shoulder arthroplasty is indicated.…”

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.…”

“…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). 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.…”

“…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. However, many of these studies do not have a control group; thus, we cannot be certain that these improved results are attributable to patch augmentation.…”

Arthroscopic Rotator Cuff Repair With Graft Augmentation of Fascia Lata for Large and Massive Tears

“…A polypropylene patch, 7 poly-L-lactic acid bioabsorbable patch, 8 and human dermal matrix 6 were used in large and massive rotator cuff repairs as augmentation materials and were associated with improvements in clinical outcomes with low retear rates. In a cadaveric study, rotator cuff repair with augmentation using a fascia lata patch decreased the amount of gap formation at the bone-tendon junction with cyclic loading compared with non-augmented repair, indicating the possibility of the fascia lata patch to reduce the incidence of rotator cuff repair failure.…”