The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up

Senekovič, Vladimir; Poberaj, Boris; Kovačič, Ladislav; Mikek, Martin; Adar, Eliyahu; Markovitz, Elana; Maman, Eran; Dekel, Assaf

doi:10.1007/s00402-016-2603-9

Cited by 116 publications

(123 citation statements)

References 30 publications

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“…This spacer deflates within the first four [ 4 ] months after introduction and fully degrades at ~12 months post implantation, which is the required period for post-operative shoulder rehabilitation. Clinical studies on patients with irreparable RC tears have suggested that the InSpace™ system can clinically reduce pain, enable physiotherapy and restore the range of motion and function in the long-term [ 17 - 19 ].…”

Section: Introductionmentioning

confidence: 99%

Biceps Tenotomy Does not Affect the Functional Outcomes of Patients Treated with Spacer Implantation Due to Massive Irreparable Rotator Cuff Tears

Maman¹,

Safran²,

Beyth³

et al. 2017

TOORTHJ

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Background:Lesions of the long head of the biceps (LHB) tendon are frequently associated with massive rotator cuff tears (RCT) and may be responsible for shoulder pain and disability.Objective:This study aimed to evaluate functional outcomes of arthroscopic biodegradable spacer implantation with or without biceps tenotomy as treatment for persistent shoulder dysfunction and pain due to a massive irreparable RCT.Methods:A total of 48 patients were implanted with the subacromial spacer using arthroscopic approach with or without biceps tenotomy. All patients were assessed for up to 12 months post-implantation and 18 patients were assessed for at least 24 months (and a maximum of 40 months). Improvement in shoulder function was assessed using Constant score.Results:Subacromial spacer implantation was performed arthroscopically in 48 patients. The mean total Constant score increased from 36 at baseline to 67 points at 12 months post implantation. Patients who underwent LHB tenotomy in addition to the subacromial spacer presented similar improvement of their shoulder function and score compared to the group that was treated with the spacer alone.Conclusion:Current study demonstrates that spacer implantation in this patient population provides significant improvement in function and decreases the pain. Additional LHB tenotomy did not influence the postoperative results during the follow-up.

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Section: Introductionmentioning

confidence: 99%

Biceps Tenotomy Does not Affect the Functional Outcomes of Patients Treated with Spacer Implantation Due to Massive Irreparable Rotator Cuff Tears

Maman¹,

Safran²,

Beyth³

et al. 2017

TOORTHJ

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View full text Add to dashboard Cite

show abstract

“…Since 2012, some authors have reported on the use and results of biodegradable subacromial spacers in the treatment of irreparable rotator cuff tears [90][91][92]. This spacer is located between the acromion and humeral heads; when the deltoid muscle contracts, this spacer assists the humeral head to remain within the glenohumeral joint instead of upward displacement during shoulder forward flexion, abduction, and external rotation.…”

Section: Subacromial Balloon Spacermentioning

confidence: 99%

Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods

Kim

Ryu

Kim

2020

Clin Shoulder Elbow

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Although the prevalence of rotator cuff tears is dependent on the size, 11% to 94% of patients experience retear or healing failure after rotator cuff repair. Treatment of patients with failed rotator cuff repair ranges widely, from conservative treatment to arthroplasty. This review article attempts to summarize the most recent and relevant surgical options for failed rotator cuff repair patients, and the outcomes of each treatment, except arthroplasty.

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“…Another had pain at 12 months, and magnetic resonance imaging documented scar tissue that was treated conservatively. Senekovic et al 4,5 had 12 patients follow up at 3 years with continued benefit following arthroscopic ISB placement. This article noted deployment time of 2 to 20 minutes.…”

Section: See Related Article On Page 607mentioning

confidence: 99%

Editorial Commentary: Yet Another Arrow in the Quiver for Surgical Treatment of the Rotator Cuff–Deficient Shoulder: Will It Fly Fast and Far or Fall Short Like Other Options Have?

Szabo¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Rotator cuff tears are common. When indicated, surgical repair is a highly successful procedure. There are circumstances when there is not enough tendon to perform an anatomic repair because of tear size, retraction, and/or atrophy. This clinical scenario, massive irreparable rotator cuff tear, has no perfect solution. Many options exist in treating massive irreparable rotator cuff tears: partial tendon repairs, debridement, tuberoplasty, intercalary allograft repairs, tendon transfers, superior capsular reconstruction, hemiarthroplasty, arthrodesis, and reverse total shoulder arthroplasty. No superior technique has been described. Another treatment has been added to this list: inserting a biodegradable balloon within the subacromial space to reduce the articulation of the humeral head on the acromion and aid in recentering the humeral head to restore balance to the remaining rotator cuff and improve deltoid function.

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The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up

Cited by 116 publications

References 30 publications

Biceps Tenotomy Does not Affect the Functional Outcomes of Patients Treated with Spacer Implantation Due to Massive Irreparable Rotator Cuff Tears

Biceps Tenotomy Does not Affect the Functional Outcomes of Patients Treated with Spacer Implantation Due to Massive Irreparable Rotator Cuff Tears

Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods

Editorial Commentary: Yet Another Arrow in the Quiver for Surgical Treatment of the Rotator Cuff–Deficient Shoulder: Will It Fly Fast and Far or Fall Short Like Other Options Have?

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