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 2

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

Back to course

Video Transcription

Video Summary

The discussion centers on a 61-year-old man with three failed rotator cuff repairs, persistent pain, and intact muscle. Infection was ruled out. The surgeons debated treatment options, ultimately favoring an interposition graft rather than repeated maximal repairs or reverse shoulder replacement. This approach preserves muscle, reduces tension, and uses a graft to bridge the tendon defect. Post-op results showed significant pain reduction and restored motion within months. Studies suggest interposition grafts have better healing rates and outcomes than maximal repairs or superior capsular reconstruction, especially in patients with good muscle quality but challenging tendon tears.

Asset Caption

Dr. Richard K.N. Ryu

Keywords

rotator cuff repair

interposition graft

shoulder surgery

tendon defect

postoperative recovery