APEX Shoulder Mastering Surgical Techniques for Clinical Success-Biologics and Patches_ What is the Latest Data

Biologics and Patches_ What is the Latest Data_ Indications and Technical Pearls

Video Transcription

Video Summary

Dr. Brian Cole discusses rotator cuff augmentation, focusing on the biological challenges in rotator cuff repairs, especially in older patients. Despite successful initial repairs, structural failures often occur due to poor tissue quality linked to aging and degeneration. He highlights the importance of improving the tendon-bone interface using scaffolds (allografts, xenografts, synthetics) and biologics like PRP and bone marrow concentrate (BMC) to enhance healing and reduce re-tear rates. Dr. Cole reviews clinical and preclinical evidence supporting scaffold use for augmentation and extension, as well as the mixed results of PRP and emerging promise of BMC and mesenchymal stem cells. Techniques like superior capsule reconstruction and collection of bursal cells for improved healing are also described. He concludes that durable rotator cuff repair likely requires a combination of cells, growth factors, and scaffolds to overcome degenerative biology and achieve better long-term outcomes.

Asset Caption

Brian Cole, MD, MBA

Keywords

rotator cuff augmentation

tendon-bone interface

scaffolds in rotator cuff repair

PRP and bone marrow concentrate

superior capsule reconstruction