Scope Essentials 2024-Rotator Cuff Augmentation_ When, How, and What are the Options

Rotator Cuff Augmentation_ When, How, and What are the Options_

Video Transcription

Video Summary

Dr. Arroyo discusses challenges in repairing massive rotator cuff tears, often complicated by tendon retraction, poor tissue quality, and high re-tear rates. He emphasizes rotator cuff augmentation to improve repair mechanics and healing, especially in revisions or chronic tears with tissue deficiency. Various graft options include xenografts (e.g., Regeniten), allografts (e.g., Cuffman, Dermis On Demand), and synthetic grafts (BioBrace), each with distinct features and deployment techniques. He also highlights using the bicep tendon as a scaffold and the benefits of biologics like PRP or bone marrow aspiration to enhance healing. Surgeons should choose augmentation methods based on comfort and case needs.

Asset Caption

William Arroyo, M.D., FAANA

Keywords

rotator cuff repair

tendon retraction

rotator cuff augmentation

graft options

biologics for healing