Hype, Promise, and Reality: Orthopedic Use of Biologics in 2019 (AANA19)-From Reinforcement To Interposition to SCR_ Rotator Cuff Patches-Dr. Stephen C. Weber, M.D.

From Reinforcement To Interposition to SCR_ Rotator Cuff Patches-Dr. Stephen C. Weber, M.D.

Video Transcription

Video Summary

The speaker reviews the challenges and evolving approaches in using patches and orthobiologics for rotator cuff repairs. Early allograft and xenograft patches showed high failure rates and inflammation issues. While techniques like double-row repairs improved outcomes, patch augmentation remains controversial. FDA regulations for these products vary, and off-label use poses risks requiring informed consent. Superior capsule reconstruction with dermal allografts shows mixed results, with significant failure rates and limited long-term data. Current clinical practice guidelines highlight insufficient evidence supporting xenograft use and only limited data favoring allografts. Overall, more high-quality studies are needed to determine the efficacy and safety of these biologic augmentations.

Asset Caption

Instructional Course Lecture: Hype, Promise, and Reality: Orthopedic Use of Biologics in 2019

Keywords

rotator cuff repair

orthobiologics

patch augmentation

allograft

xenograft