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-Getelman 2

Controversies in the Use of Grafts and Patches in Rotator Cuff Surgery: Augmentation, Interposition, Reinforcement, Superior Capsular Reconstruction, and Bio-Inductive Scaffolds-Getelman 2

Back to course

Video Transcription

Video Summary

The discussion centers on treating a 71-year-old patient with chronic, large rotator cuff tears and pseudoparesis, unresponsive to conservative care. Surgical options debated include reverse shoulder replacement, rotator cuff repair with dermal allograft augmentation, superior capsular reconstruction (SCR), and tendon transfers. Augmentation with allografts improves repair strength and healing rates, beneficial in chronic tears with poor tissue. Interposition grafts may better restore biomechanics than SCR alone. The group stresses distinguishing pain-driven dysfunction from true functional loss, noting that procedures like balloon spacers primarily address pain, not muscle function. Rehabilitation is key, but outcomes vary based on muscle viability and chronicity.

Asset Caption

Dr. Mark Getelman

Keywords

rotator cuff tears

pseudoparesis

reverse shoulder replacement

dermal allograft augmentation

superior capsular reconstruction