2021 AANA/ASES Specialty Session-Bridge the Gap: Interposition Techniques That Work for Massive Rotator Cuff Tears

Bridge the Gap: Interposition Techniques That Work for Massive Rotator Cuff Tears

Video Transcription

Video Summary

Dr. Mark Gettleman discussed interposition techniques using acellular dermal matrix allografts for massive rotator cuff tears, emphasizing their off-label use and patient counseling. He highlighted challenges in healing large, chronic tears due to poor tissue quality. His approach involves augmenting repair strength with dermal grafts for high-risk or irreparable tears, improving healing rates up to 85%. For irreparable cases, grafts serve as scaffolds to restore dynamic cuff function, showing promising results except in pseudo-paralytic patients. Decision-making depends on tear reparability and tissue quality. Overall, dermal allografts offer a viable, non-definitive solution for complex rotator cuff repairs, bridging gaps without limiting future options.

Asset Caption

Mark H. Getelman, M.D.

Keywords

acellular dermal matrix

rotator cuff tears

interposition techniques

graft augmentation

irreparable rotator cuff repair