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-Tokish 1

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

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Video Summary

The speaker discusses challenging rotator cuff (RC) injuries, focusing on regenerative treatments using biologic growth factors rather than stem cells. Placental tissues, especially amnion and umbilical cord allografts rich in angiogenic growth factors, are highlighted for promoting healing in tendinopathies like RC tears and Achilles issues. The presenter shares personal experiences and introduces a delivery system for inserting these tissues during surgery or ultrasound-guided office procedures. Early results are promising but preliminary. They also discuss surgical strategies like superior capsule reconstruction (SCR) and partial repairs, emphasizing individualized approaches based on muscle condition and highlighting the evolving role of biologics in tendon repair.

Asset Caption

Dr. John Tokish

Keywords

rotator cuff injuries

regenerative treatments

placental tissue allografts

angiogenic growth factors

superior capsule reconstruction