AANA19 Shoulder Access Pass-Solutions Present and Future-Dr. Jason L. Dragoo, M.D.

Solutions Present and Future-Dr. Jason L. Dragoo, M.D.

Video Transcription

Video Summary

The future of rotator cuff repair lies in focusing on biology, an area previously overlooked compared to implants and techniques. Current biologics show limited success due to short-acting growth factors and insufficient local cellular environment. Studies reveal that rotator cuff tears have reduced mesenchymal cells, hindering healing. Recent trials using bone marrow aspirate concentrate (BMAC) to enhance cellular presence show promising increased healing rates. Innovations include biologic “sandwich grafts” to hold cells at repair sites. Optimizing biologic environments, refining cell delivery, and focusing on cellular containment at repair sites are critical for improving healing and outcomes in rotator cuff repair.

Keywords

rotator cuff repair

biologics

mesenchymal cells

bone marrow aspirate concentrate

cellular environment