Arthroscopic Replacement of Massive, Irreparable Rotator Cuff Tears Using a GraftJacket Allograft: Technique and Preliminary Results

Bond, James L.; Dopirak, Ryan M.; Higgins, Jason; Burns, Joseph P.; Snyder, Stephen J.

doi:10.1016/j.arthro.2007.07.033

Cited by 325 publications

(251 citation statements)

References 23 publications

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“…If the patient is young and active without pseudoparalysis, tendon transfers may be warranted to balance the shoulder [61]. If the muscle is of good quality (ie, minimal or no fatty infiltration) but insufficient tendon exists for repair, some consideration may be given to a human or porcine dermal allograft that may augment the repair and enhance healing [1,8], although the benefits of allografts relative to other treatment options is uncertain at present [37,52]. If painful arthritis and pseudoparalysis develops with an irreparable rotator cuff tear, RTSA may be the best treatment option [18,21,61].…”

Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

220

129

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Background Reverse total shoulder arthroplasty (RTSA) was introduced to treat rotator cuff tear arthropathy but is now used to treat a variety of problems. Although its use has expanded substantially since the FDA's approval in 2004, the appropriateness in patients with rotator cuff disease is unclear. Questions/purposes We review the use of RTSA in patients with rotator cuff disease to (1) describe classification of rotator cuff tear reparability and the concept of a balanced shoulder; (2) explore the theory behind RTSA design relative to rotator cuff arthropathy; (3) discuss the indications and contraindications for RTSA; and (4) review published outcomes of RTSA for rotator cuff arthropathy.Methods We performed a selective review of the literature on the use of RTSA in the treatment of rotator cuff disease.Results Modern RTSA designs restore deltoid tension and a functional fulcrum to the rotator cuff deficient shoulder, which allows recovery of active shoulder elevation and effectively restores function in short-and mediumterm followup studies. Conclusions In short-term followup the RTSA relieves symptoms and restores function for patients with cuff tear arthropathy and irreparable rotator cuff tears with pseudoparalysis (preserved deltoid contraction but loss of active elevation). Severely impaired deltoid function, an isolated supraspinatus tear, and the presence of full active shoulder elevation with a massive rotator cuff tear and arthritis are contraindications to RTSA. Clinical Relevance For properly selected patients who have symptomatic and disabling rotator cuff deficiency, RTSA can result in life-changing improvements in pain, motion, function, and patient satisfaction. Level of Evidence Level V therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Introductionmentioning

confidence: 99%

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Drake¹,

O’Connor

Edwards

2010

Clinical Orthopaedics &Amp; Related Research

220

129

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“…Audenaert et al [12] reported on a case series of 41 patients with Mersilene polyester mesh (Ethicon). Bond et al [13] found 13 of 16 patients had MRI confirmed integration and overall patient satisfaction with the augmentation of irreparable RC tears with GraftJacket Allograft with 2 year average follow-up. One Japanese study by Ito and Morioka [14] compared the McLaughlin procedure alone (n = 12) to repair using a double layer allograft patch (n = 9).…”

Section: Discussionmentioning

confidence: 99%

Bilateral rotator cuff repair utilizing augmentation nine patch grafts over 24 years in one patient with polio paraplegia: A case report

Nirschl

Helming

Ingram

et al. 2016

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This case report describes the management of sequential rotator cuff (RC) tears with multiple patch graft augmentation in a polio-paraplegic athlete. The patient underwent these operations over a twenty-four year span from 1986-2010. The patient's case was complicated due to the fact he had more than a dozen upper extremity surgeries during this time period. The grafts used were autograft illiotibial band, followed by porcine xenografts, and finally allograft dermal collagen matrixes. This report describes the advancements in graft technology, and the surgical procedure associated with the grafts. After the most recent surgery, the patient exhibited full range of motion in both shoulders, the ability to perform independent transfers and was able to discontinue pain medication. Our case provides evidence of the success rate of using patch grafts in both frail tissue repairs as well as large cuff defects in a patient who places high demand on his upper extremities for daily activities.

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“…There are, however, limited human subject data comparing repair with allogenic augmentation to repair of comparable tears without allogenic augmentation. Bond et al [7] showed repairing massive rotator cuff tears with allogenic augmentation (GraftJacket 1 ) yielded a failure rate of 19%. This result is lower than the 38% to 95% failure rate demonstrated in several studies evaluating unaugmented massive rotator cuff repairs [5,20,21,60].…”

Section: Ecm Augmentationmentioning

confidence: 99%

Strategies in Biologic Augmentation of Rotator Cuff Repair: A Review

Cheung

Silverio

Sperling

2010

Clinical Orthopaedics &Amp; Related Research

147

103

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Background Degenerative rotator cuff tears are increasing with the aging population, and healing is not uniform after surgery. Rotator cuffs may show improved healing when biologic factors are added during surgery. Questions/purposes We asked: (1) What cellular processes are involved in normal bone-to-tendon healing? (2) What approaches are being developed in tendon augmentation? (3) What approaches are being developed with the addition of growth factors? Methods We reviewed research in relating to biologic augmentation and cellular processes involved in rotator cuff repair, focusing on animal models of rotator cuff repair and nonrandomized human trials. Results Regular bone-to-tendon healing forms a fibrous junction between tendon and bone that is distinct from the original bone-to-tendon junction. Tendon augmentation with cellular components serves as scaffolding for fibroblastic cells and a possible source of growth factors and fibroblastic cells. Extracellular matrices provide a scaffold for incoming fibroblastic cells, although current research does not conclusively confirm which if any of these scaffolds enhance repair owing in part to intermanufacturer variations and the limited human research. Growth factors and platelet-rich-plasma are established in other fields of research and may enhance repair but have not been rigorously tested. Conclusions There is potential application of biologic augmentation to improve healing after rotator cuff repair. However, research in this field is still inconclusive and has not been sufficiently demonstrated to merit regular clinical use. Future human trials can elucidate the use of biologic augmentation in rotator cuff repairs.

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Arthroscopic Replacement of Massive, Irreparable Rotator Cuff Tears Using a GraftJacket Allograft: Technique and Preliminary Results

Cited by 325 publications

References 23 publications

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Indications for Reverse Total Shoulder Arthroplasty in Rotator Cuff Disease

Bilateral rotator cuff repair utilizing augmentation nine patch grafts over 24 years in one patient with polio paraplegia: A case report

Strategies in Biologic Augmentation of Rotator Cuff Repair: A Review

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