Rotator cuff repair protected with subacromial balloon spacer shows a low rate of non-healing

2022 ◽  
Author(s):  
Raffaele Garofalo ◽  
Angelo De Crescenzo ◽  
Alberto Fontanarosa ◽  
Marco Conti ◽  
Alessandro Castagna ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Cuff Repair ◽  
Low Rate

Advantages and Techniques of Utilizing Anterolateral Portal in Delaminated Rotator Cuff Repair

2014 ◽  
Vol 23 (03) ◽  
pp. 170-173
Author(s):  
Prithviraj Chavan ◽  
Todd K. Gothelf ◽  
Keith M. Nord ◽  
William H. Garrett ◽  
Keith D. Nord
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Anterolateral Portal ◽  
Cuff Repair

Incidence of Propionibacterium acnes in arthroscopic rotator cuff repair

2020 ◽  
Vol 25 (1) ◽  
pp. 110-114 ◽  
Author(s):  
Yukihiro Kajita ◽  
Yusuke Iwahori ◽  
Yohei Harada ◽  
Masataka Deie
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Propionibacterium Acnes ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Do elderly patients gain as much benefit from arthroscopic rotator cuff repair as their younger peers?

2019 ◽  
Vol 28 (6) ◽  
pp. 1056-1065 ◽  
Author(s):  
Caroline Witney-Lagen ◽  
Georgios Mazis ◽  
Juan Bruguera ◽  
Ehud Atoun ◽  
Giuseppe Sforza ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Elderly Patients ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Effect of Immobilization without Passive Exercise After Rotator Cuff Repair

2014 ◽  
Vol 96 (6) ◽  
pp. e44 ◽  
Author(s):  
Kyoung Hwan Koh ◽  
Tae Kang Lim ◽  
Min Soo Shon ◽  
Young Eun Park ◽  
Seung Won Lee ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Passive Exercise ◽  
Cuff Repair

Distinct Gene Expression Profile in Patients With Poor Postoperative Outcomes After Rotator Cuff Repair: A Case-Control Study

2021 ◽  
pp. 036354652110232
Author(s):  
Jessica M. Eager ◽  
William J. Warrender ◽  
Carly B. Deusenbery ◽  
Grant Jamgochian ◽  
Arjun Singh ◽  
...  
Keyword(s):  
Gene Expression ◽  
Rotator Cuff ◽  
Surgical Outcomes ◽  
Rotator Cuff Repair ◽  
Case Control Study ◽  
Case Control ◽  
Gene Sets ◽  
Poor Outcomes ◽  
Cuff Repair ◽  
Control Study

Background: Impaired healing after rotator cuff repair is a major concern, with retear rates as high as 94%. A method to predict whether patients are likely to experience poor surgical outcomes would change clinical practice. While various patient factors, such as age and tear size, have been linked to poor functional outcomes, it is currently very challenging to predict outcomes before surgery. Purpose: To evaluate gene expression differences in tissue collected during surgery between patients who ultimately went on to have good outcomes and those who experienced a retear, in an effort to determine if surgical outcomes can be predicted. Study Design: Case-control study; Level of evidence, 3. Methods: Rotator cuff tissue was collected at the time of surgery from 140 patients. Patients were tracked for a minimum of 6 months to identify those with good or poor outcomes, using clinical functional scores and follow-up magnetic resonance imaging to confirm failure to heal or retear. Gene expression differences between 8 patients with poor outcomes and 28 patients with good outcomes were assessed using a multiplex gene expression analysis via NanoString and a custom-curated panel of 145 genes related to various stages of rotator cuff healing. Results: Although significant differences in the expression of individual genes were not observed, gene set enrichment analysis highlighted major differences in gene sets. Patients who had poor healing outcomes showed greater expression of gene sets related to extracellular matrix production ( P < .0001) and cellular biosynthetic pathways ( P < .001), while patients who had good healing outcomes showed greater expression of genes associated with the proinflammatory (M1) macrophage phenotype ( P < .05). Conclusion: These results suggest that a more proinflammatory, fibrotic environment before repair may play a role in poor healing outcome. With validation in a larger cohort, these results may ultimately lead to diagnostic methods to preoperatively predict those at risk for poor surgical outcomes.

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