Controversies in the Use of Grafts and Patches for Rotator Cuff Surgery: Augmentation, Interposition, Superior Capsule Reconstruction and Bio-inductive Scaffolds (AANA19)-Graft Augmentation for Rotator Cuff Repair 2019-Dr. F. Alan Barber, M.D.

Graft Augmentation for Rotator Cuff Repair 2019-Dr. F. Alan Barber, M.D.

Video Transcription

Video Summary

A 65-year-old football coach with a chronic rotator cuff tear underwent a complex repair involving an interpositional acellular dermal matrix graft and platelet-rich plasma augmentation. The discussion focused on surgical decision-making between rotator cuff repair augmentation, superior capsular reconstruction (SCR), and reverse shoulder arthroplasty (RSA). Key points included assessing tendon mobility, patient activity level, prior treatments, and balancing operative complexity with outcomes. While SCR provides static restraint, graft bridging restores more normal anatomy. RSA offers immediate function but longer rehab. Patient selection and individualized treatment remain critical, as none of the techniques guarantee uniformly optimal results, emphasizing cautious, evidence-based surgical choices.

Keywords

rotator cuff tear

acellular dermal matrix graft

platelet-rich plasma

superior capsular reconstruction

reverse shoulder arthroplasty