AANA19 Shoulder Access Pass-It's Not Loco! - Add a Graft-Dr. Louis F. McIntyre, M.D.

It's Not Loco! - Add a Graft-Dr. Louis F. McIntyre, M.D.

Video Transcription

Video Summary

The speaker discusses the challenges of repairing massive rotator cuff tears, emphasizing the poor healing environment and high re-tear rates, sometimes up to 79%. They advocate for meticulous surgical techniques, including debridement, interval slides, and margin convergence to restore anatomy. Additionally, the speaker highlights new biological approaches to enhance healing, such as bio-inductive implants made of bovine collagen, which promote tendon-like tissue growth. Early clinical results show promising improvements in tendon healing, especially in massive tears. The key message is to invest time in repair techniques and enhance the biological environment to improve outcomes in these difficult cases.

Keywords

massive rotator cuff tears

surgical repair techniques

high re-tear rates

bio-inductive implants

tendon healing enhancement