Arthroscopic Repair of Anterosuperior Rotator Cuff Tears: In-Continuity Technique Vs. Disruption of Subscapularis-Supraspinatus Tear Margin

2014 ◽  
Vol 96 (24) ◽  
pp. 2056-2061 ◽  
Author(s):  
Sung-Jae Kim ◽  
Min Jung ◽  
Jae-Hoo Lee ◽  
Chul Kim ◽  
Yong-Min Chun
2020 ◽  
Vol 8 (2_suppl) ◽  
pp. 2325967120S0001
Author(s):  
Etienne Boyer ◽  
Nicolas Gasse ◽  
Jérome Mataillet ◽  
Laurent Obert ◽  
David Gallinet

Background: Rotator cuff tear is the most common shoulder pathology in adults over 45 years of age. In most instances they are chronic and degenerative. The high rate of re- tears after primary repair has led to the use of reinforcement systems such as patches. The objective of this study was to evaluate the effectiveness of a synthetic poly-4-hydroxybutyrate (P4HB) reinforcement patch in arthroscopic repair of degenerative rotator cuff tears. Methods: sixty patients with degenerative, reducible, full thickness supraspinatus tear were repaired with an arthroscopic single-row technique with or without the BioFiber® reinforcement system (Wright medical). A clinical evaluation with measurement of active range of motion, calculation of Constant and Subjective Shoulder Value (SSV) scores and ultrasound evaluation of healing were performed one year postoperatively. Results: Thirty patients were treated with a patch and thirty others formed the control group without a patch. The postoperative adjusted Constant score was 102 % in the patch group (PG) and 101 % in the control group (CG) (P = 0.6670). The postoperative SSV score was 81% in the PG and 88% in the CG (P = 0.029). The ultrasound healing rate was better in the PG and there was no re-tear in this group (P = 0.049). Conclusion: The interposition of the P4HB BioFiber® patch does not seem to provide any added functional value despite the effectiveness in terms of healing in the repair of degenerative, reducible complete tear of the supraspinatus tendon.


2010 ◽  
Vol 26 (12) ◽  
pp. 1667-1674 ◽  
Author(s):  
Shane J. Nho ◽  
Rachel M. Frank ◽  
Stefanie N. Reiff ◽  
Nikhil N. Verma ◽  
Anthony A. Romeo

2011 ◽  
Vol 39 (10) ◽  
pp. 2064-2070 ◽  
Author(s):  
Bruce S. Miller ◽  
Brian K. Downie ◽  
Robert B. Kohen ◽  
Theresa Kijek ◽  
Bryson Lesniak ◽  
...  

Author(s):  
Brian D. Dierckman ◽  
Petros Frousiakis ◽  
Joseph P. Burns ◽  
F. Alan Barber ◽  
Ross Wodicka ◽  
...  

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