Controversies in the Use of Grafts and Patches in Rotator Cuff Surgery: Augmentation, Interposition, Reinforcement, Superior Capsular Reconstruction and Bio-Inductive Scaffolds (2021 Annual Meeting)-Controversies in the Use of Grafts and Patches in Rotator Cuff Surgery: Augmentation, Interposition, Reinforcement, Superior Capsular Reconstruction, and Bio-Inductive Scaffolds-Abrams 1

Controversies in the Use of Grafts and Patches in Rotator Cuff Surgery: Augmentation, Interposition, Reinforcement, Superior Capsular Reconstruction, and Bio-Inductive Scaffolds-Abrams 1

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Video Transcription

Video Summary

The discussion focuses on managing partial-thickness rotator cuff tears, particularly in an active 69-year-old female tennis player with degenerative tendon damage extending medially. Different viewpoints on treatment include takedown with repair to restore tendon layers versus debridement with biceps tenodesis, weighing healing potential and risk of stiffness. The panel debates surgical techniques, including anchor placement and concern for tension mismatch and adhesive capsulitis. A bioinductive collagen patch is highlighted as an innovative scaffold placed over the tear to enhance tendon thickness and stimulate healing without full repair. Early range-of-motion rehab is emphasized to avoid stiffness. Clinical outcomes show improved tendon quality and pain reduction, with a relatively easier recovery reported historically in patients using the patch. Insurance and cost challenges are noted, especially for older patients. Overall, the panel suggests bioinductive patches offer a promising adjunct treatment for degenerative partial tears in active older adults, potentially extending functional play with lower initial morbidity.

Asset Caption

Dr. Jeffrey Abrams

Keywords

partial-thickness rotator cuff tears

bioinductive collagen patch

tendon healing

surgical techniques

early range-of-motion rehabilitation

degenerative tendon damage