2023 Specialty Day Access Pass-Biologic Adjuncts for Rotator Cuff Repair Surgery

Biologic Adjuncts for Rotator Cuff Repair Surgery

Video Transcription

Video Summary

Pietro Rondelli reviewed the use of PRP and lipoaspirate in rotator cuff repair. PRP showed early pain reduction but inconsistent results on retear rates over 10 years. Recent unbiased studies (2019-2023) support PRP's effectiveness, though cost-effectiveness remains an issue. Lipoaspirate, containing adipose-derived stem cells, demonstrated promising lab results enhancing tendon stem cell proliferation and vascular growth factors. A randomized trial with 44 patients showed significant functional improvements at six months and fewer retears on MRI, though not significant statistically. Lipoaspirate is safe, easy to use in one surgical step, and may accelerate postoperative recovery, representing a promising adjunct in cuff repair.

Asset Caption

Pietro S. Randelli, M.D.

Keywords

PRP

lipoaspirate

rotator cuff repair

adipose-derived stem cells

postoperative recovery