2023 Specialty Day Access Pass-Onlay Dermis Grafts

Video Transcription

Video Summary

Patrick Naird discusses onlay dermal grafts for rotator cuff repair, emphasizing the persistent 25% failure rate over 20 years and the need to improve biology-based healing. Using the rotator cuff healing index, he identifies patients with high failure risk (Rohy score ≥7) who may benefit from augmentation. Dermal allografts are preferred due to lower inflammation compared to xenografts. He details his surgical technique using a one-millimeter dermal allograft fixed medially with soft anchors and laterally with standard anchors, highlighting the procedure's technical ease. While biomechanics might favor interposition grafts, onlay grafts' simplicity and potential healing benefits warrant further trials.

Asset Caption

Patrick J. Denard, M.D., FAANA

Keywords

rotator cuff repair

onlay dermal grafts

dermal allografts

rotator cuff healing index

augmentation techniques