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-Ryu 1

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

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Video Transcription

Video Summary

The speaker discusses advanced techniques for treating massive rotator cuff tears, focusing on primary repair supplemented by bio-inductive scaffolds, dermal allografts, and composite bio-integrative grafts that provide immediate strength and tissue in-growth. They differentiate augmentation, reinforcement, interposition bridging, and superior capsular reconstruction (SCR), highlighting case examples and recent studies showing improved outcomes with augmentation. The use of scaffolds, including bio-inductive patches with zero initial strength but promoting healing, is emphasized, especially for revision cases. The speaker advocates for shoulder surgeons to understand and master these evolving biologic and mechanical augmentation options to improve difficult rotator cuff repair outcomes.

Asset Caption

Dr. Richard K.N. Ryu

Keywords

massive rotator cuff tears

primary repair

bio-inductive scaffolds

superior capsular reconstruction

augmentation techniques