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All-arthroscopic patch augmentation of a massive rotator cuff tear: surgical technique.

ABSTRACT: Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is no current gold standard. Failure after rotator cuff repair is typically multifactorial; however, failure of tendon-footprint healing is often implicated. Patch augmentation has been described as a possible technique to augment the biology of rotator cuff repair in situations of compromised tendon quality and has shown promising short-term results. The purpose of this article is to describe our preferred surgical technique for arthroscopic rotator cuff repair with patch augmentation.

SUBMITTER: Chalmers PN

PROVIDER: S-EPMC3882705 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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All-arthroscopic patch augmentation of a massive rotator cuff tear: surgical technique.

Chalmers Peter N PN Frank Rachel M RM Gupta Anil K AK Yanke Adam B AB Trenhaile Scott W SW Romeo Anthony A AA Bach Bernard R BR Verma Nikhil N NN

Arthroscopy techniques 20131101 4

Surgical management of massive rotator cuff tears remains challenging, with failure rates ranging from 20% to 90%. Multiple different arthroscopic and open techniques have been described, but there is no current gold standard. Failure after rotator cuff repair is typically multifactorial; however, failure of tendon-footprint healing is often implicated. Patch augmentation has been described as a possible technique to augment the biology of rotator cuff repair in situations of compromised tendon ...[more]

PMID: 24400198

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