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27.07.2020 | Surgical Management of Massive Irreparable Cuff Tears (J Sanchez-Sotelo, Section Editor) | Ausgabe 5/2020

Current Reviews in Musculoskeletal Medicine 5/2020

Patch Augmentation in Rotator Cuff Repair

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 5/2020
Autoren:
Peter N. Chalmers, Robert Z. Tashjian
Wichtige Hinweise
This article is part of the Topical Collection on Surgical Management of Massive Irreparable Cuff Tears

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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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