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Current Reviews in Musculoskeletal Medicine

Erschienen in:

27.07.2020 | Surgical Management of Massive Irreparable Cuff Tears (J Sanchez-Sotelo, Section Editor)

Patch Augmentation in Rotator Cuff Repair

verfasst von: Peter N. Chalmers, Robert Z. Tashjian

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 5/2020

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Abstract

Purpose of the Review

Rotator cuff repair has excellent outcomes for many patients but continues to be suboptimal for large, retracted tears, and revision procedures. In these situations, patch augmentation may be considered in order to improve healing. The purpose of this article is to review the history, graft options, indications, surgical technique, outcomes, and complications associated with arthroscopic patch augmentation for rotator cuff repair.

Recent Findings

Patch augmentation has been shown in several studies to improve healing rates. After multiple investigations into different materials available for patch augmentation, acellular dermal allograft seems to be the graft with the best scientific support. While multiple techniques have been presented, few studies have compared their performance.

Summary

While the arthroscopic technique for patch augmentation can be challenging, we present a systematic approach to this procedure with the potential to reliably and predictably perform patch augmentation. This technique is a valuable tool for surgeons that treat rotator cuff pathology.

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Titel: Patch Augmentation in Rotator Cuff Repair
verfasst von: Peter N. Chalmers
Robert Z. Tashjian
Publikationsdatum: 27.07.2020
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 5/2020
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-020-09658-4

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