AANA19 Shoulder Access Pass-Defining the Clinical Problem_ Disease Epidemiology and Scope of the Problem-Dr. Scott A. Rodeo, M.D.

Defining the Clinical Problem_ Disease Epidemiology and Scope of the Problem-Dr. Scott A. Rodeo, M.D.

Video Transcription

Video Summary

The presentation discusses rotator cuff repair challenges, highlighting slow and imperfect tendon healing with biological and biomechanical issues. Clinical outcomes often improve pain but not strength, while structural healing may fail despite good patient satisfaction. Failure rates vary, with modern techniques showing 15-20% re-tears, mostly within six months post-surgery. Studies indicate double-row repair has lower failure rates than single-row, and platelet-rich plasma (PRP) aids small to medium tears. Age, tear size, retraction, and metabolic factors affect healing. Failures often stem from inadequate native tissue regeneration and cellular signaling. Future focus is on biologic augmentation to enhance healing.

Keywords

rotator cuff repair

tendon healing

double-row repair

platelet-rich plasma

biologic augmentation