Increased stiffness and reoperation rate in partial rotator cuff repairs treated with a bovine patch: a propensity-matched trial

Yeazell, Shawn; Lutz, Adam; Bohon, Hunter; Shanley, Ellen; Thigpen, Charles A.; Kissenberth, Michael J.; Pill, Stephan G.

doi:10.1016/j.jse.2022.02.003

Cited by 15 publications

(5 citation statements)

References 11 publications

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“…A total of 284 articles were retrieved from PubMed, CINAHL, MEDLINE, and ScienceDirect with 25 articles meeting the final selection criteria for inclusion in the systematic review [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Figure 1 shows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram for the identification, screening, and final selection of the included articles.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 25 articles selected for the study, two studies were Level I evidence, three studies were Level II evidence, five studies were Level III evidence, and 15 studies were Level IV evidence. Table 1 shows more details on the 25 articles selected for the current systematic review [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The 25 articles selected for final inclusion had a total of 9,373 patients who underwent ARCR for RCT, regardless of tear type.…”

Section: Resultsmentioning

confidence: 99%

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The Incidence of Postoperative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

Baumann¹,

Oleson²,

Curtis³

et al. 2023

Cureus

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Rotator cuff tear (RCT) is a common shoulder condition frequently treated with arthroscopic rotator cuff repair (ARCR) after conservative interventions have failed. Postoperative shoulder stiffness (POSS) is a common complication after ARCR. The purpose of this study is to determine the incidence of POSS after ARCR in total and based on tear extent prior to ARCR. A systematic review was performed using PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), and ScienceDirect databases. The search terms were "rotator cuff repair" AND "arthrofibrosis" OR "postoperative shoulder stiffness." Articles were selected based on ARCR and the presence of POSS documentation. Twenty-five articles out of 284 articles met the final selection criteria after reviewing for patients who received ARCR. Out of all patients (n=9,373), 597 had POSS (6.4%). Out of the 2,424 patients with a specified tear pattern, 96 out of 1,862 (5.2%) patients with full-thickness tears and 58 out of 562 (10.3%) patients with partial-thickness tears had POSS after ARCR. Partial-thickness tears are associated with higher rates of POSS after ARCR as compared to full-thickness tears (p<0.001). Overall, POSS is a common complication after ARCR with an incidence of 6.4%, regardless of tear type. POSS is more common in patients who receive ARCR for partial-thickness RCT (10.3%) as compared to patients who receive ARCR for full-thickness RCT (5.2%). More research is needed to determine other factors impacting the incidence of POSS after ARCR.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Incidence of Postoperative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

Baumann¹,

Oleson²,

Curtis³

et al. 2023

Cureus

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“…11 One example of scaffolds that are now being used in clinical practice are bioinductive bovine collagen patches, and small prospective case series to date have demonstrated their safety at short-term follow-up. [12][13][14][15] While there is some limited clinical evidence that these patches may improve rotator cuff thickness, this is challenging to determine in clinical trials without an randomized controlled trial (RCT). 13 That said, Arnoczky et al 16 were able to obtain biopsy samples from patients who had undergone previous RCR augmentation with a highly porous collagen implant and found that there was evidence of cellular incorporation, new collagen formation, and resorption of the original collagen implant at 6 months postoperatively.…”

Section: Scaffoldsmentioning

confidence: 99%

“…One example of scaffolds that are now being used in clinical practice are bioinductive bovine collagen patches, and small prospective case series to date have demonstrated their safety at short-term follow-up 12–15 . While there is some limited clinical evidence that these patches may improve rotator cuff thickness, this is challenging to determine in clinical trials without an randomized controlled trial (RCT) 13 .…”

Section: Scaffoldsmentioning

confidence: 99%

Translational Research on Orthobiologics in the Treatment of Rotator Cuff Disease: From the Laboratory to the Operating Room

Eliasberg,

Trinh,

Rodeo

2024

Sports Medicine and Arthroscopy Review

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Rotator cuff disease is one of the most common human tendinopathies and can lead to significant shoulder dysfunction. Despite efforts to improve symptoms in patients with rotator cuff tears and healing rates after rotator cuff repair, high rates of failed healing and persistent shoulder morbidity exist. Increasing interest has been placed on the utilization of orthobiologics—scaffolds, cell-based augmentation, platelet right plasma (platelet-rich plasma), and small molecule-based strategies—in the management of rotator cuff disease and the augmentation of rotator cuff repairs. This is a complex topic that involves novel treatment strategies, including patches/scaffolds, small molecule-based, cellular-based, and tissue-derived augmentation techniques. Ultimately, translational research, with a particular focus on preclinical models, has allowed us to gain some insights into the utility of orthobiologics in the treatment of rotator cuff disease and will continue to be critical to our further understanding of the underlying cellular mechanisms moving forward.

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“…In this study from Greenville (South Carolina, USA) , the authors looked at outcomes following a bovine patch allograft (Regeneten; Smith & Nephew, USA) used as an augment over either a debrided or repaired partial thickness tear of the supraspinatus tendon. 4 Debridement plus patch was carried out in five patients, and tear completion, repair plus patch was carried out in 27 patients. A well-matched comparator group of 32 patients undergoing surgery without a patch was selected using propensity score matching based on age, sex, and preoperative imaging findings.…”

Section: Increased Stiffness and Reoperation Rate In Partial Rotator ...mentioning

confidence: 99%

Shoulder & Elbow

2022

Bone & Joint 360

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Increased stiffness and reoperation rate in partial rotator cuff repairs treated with a bovine patch: a propensity-matched trial

Cited by 15 publications

References 11 publications

The Incidence of Postoperative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

The Incidence of Postoperative Shoulder Stiffness After Arthroscopic Rotator Cuff Repair: A Systematic Review

Translational Research on Orthobiologics in the Treatment of Rotator Cuff Disease: From the Laboratory to the Operating Room

Shoulder & Elbow

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