2021 Annual Meeting Shoulder Access Pass-Debate: Patch Augmentation

Debate: Patch Augmentation - It Works and I Can Prove It

Video Transcription

Video Summary

The speaker discusses treatment challenges for large and massive rotator cuff tears, highlighting high re-tear rates even with modern repairs. For younger patients without arthritis, grafts or patches—especially for bridging or superior capsular reconstruction (SCR)—are promising, though a relatively new approach with evolving evidence. Systematic reviews show graft augmentation can lower re-tear rates compared to repair alone, with better functional outcomes. Graft thickness may impact success, with thicker grafts potentially offering better support. Long-term SCR results are encouraging, but more research is needed on biology and techniques. Overall, grafts offer valuable options for managing massive tears in younger patients.

Asset Caption

Dr. Alison Toth

Keywords

rotator cuff tears

graft augmentation

superior capsular reconstruction

re-tear rates

functional outcomes