Superior capsular reconstruction using a porcine dermal xenograft for irreparable rotator cuff tears: outcomes at minimum two-year follow-up

Ferrando, Albert; Kingston, Ross; Delaney, Ruth A.

doi:10.1016/j.jse.2020.08.020

Cited by 27 publications

(36 citation statements)

References 26 publications

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“…On the other hand, use of fascia lata autograft comes with increased risks of donor site morbidity and increased operation time. Dermal allografts are also popular 10,11,12 in SCR; however, they result in a thinner graft (3-4 mm) and they costs more.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Superior Capsular Reconstruction with Achilles Tendon Allograft for Massive and Revision Rotator Cuff Tears

Llanos-Rodríguez¹,

Escandón-Almazán²,

Espejo-Reina³

et al. 2022

Arthroscopy Techniques

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Massive irreparable rotator cuff tears (RCT) in younger and active patients remain a significant clinical challenge to orthopaedic surgeons. Superior capsular reconstruction (SCR) has been presented as a way to restore the restraining effect of the superior joint capsule and the balanced force couples necessary for dynamic shoulder function; furthermore, it does not exclude future treatment options. The purpose of this article is to show a technical modification of the SCR in massive and revision RCT using Achilles tendon allograft as an effective static restraint to prevent superior migration of the humeral head due to its thickness and robustness, and performing a side-to-side repair on the greater tuberosity between the graft and the residual infraspinatus tendon to completely restore the superior stability of the shoulder joint.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Superior Capsular Reconstruction with Achilles Tendon Allograft for Massive and Revision Rotator Cuff Tears

Llanos-Rodríguez¹,

Escandón-Almazán²,

Espejo-Reina³

et al. 2022

Arthroscopy Techniques

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“…T he surgical techniques of SCR derived from Mihata in 2007 11 . Following that, a variety of techniques have been reported 14,16,31,32,34,[43][44][45][46][47] . According to the type of grafts, we summarized two main surgical procedures, one was the ASCR with fascia lata autograft or acellular dermal allograft, another was ASCR with the LHBT.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…Based on the biomechanical effect, SCR can be used in RCT with poor tissue quality, tendon retraction or muscle atrophy 19 , 20 , 21 . Different grafts were used in clinic and achieve preliminary success 14 , 16 , 21 , 22 .…”

Section: The Alternative Graftsmentioning

confidence: 99%

“…As a new arthroscopic technique, SCR with autografts such as fascia lata and the long head of biceps tendon (LHBT), acellular dermal allograft, xenograft or synthetic graft showed significant clinical results in pain, range of motion (ROM), strength, graft healing, and the function 12 . A lot of surgical procedures and indications were addressed because of the discrepancy of the grafts 13 , 14 , 15 , 16 , 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

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Advancement in Arthroscopic Superior Capsular Reconstruction for Irreparable Massive Rotator Cuff Tear

Zhou

Tang

2021

Orthopaedic Surgery

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Irreparable massive rotator cuff tear (IMRCT) was one of the causes of shoulder dysfunction, despite technical improvement, the failure rate of IMRCT was still demonstrated to be high. Traditional treatments like non-surgical treatments, partial rotator cuff repair, and tendon transfers could only achieve a slight improvement. A potential cause for high failure rate was the fact that traditional treatments cannot restore the superior stability of glenohumeral joint, and thus restricted the movement of shoulder joint severely. Superior capsular reconstruction (SCR) using a variety of grafts (autograft, allograft, xenograft, or synthetic grafts) provided a promising option for IMRCT. In surgery, graft was fixed medially to superior glenoid and laterally to the footprint of humeral greater tuberosity. SCR could increase the stability of the superior glenohumeral joint, decrease the subacromial pressure and acromiohumeral distance. This review summarized the relevant literature regarding the alternative grafts, surgery indications, operative techniques and clinical outcomes of SCR. we compared the different grafts, key surgical steps, the advantages and disadvantages of different surgical methods to provide clinicians with new surgical insights into the treatments of IMRCT. In conclusion, IMRCT without severe glenohumeral arthritis was the best suitable indication for SCR. The clinical outcomes were positive in the short-term and middle-term following-up. More studies were necessary to determine long-term results of this surgical procedure.

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“…Although human-derived dermal allografts and fascia lata allografts have comparable outcomes, porcine-derived dermal xenograft has less favorable and inconstant results in the literature. Despite similar time-zero characteristics, less promising results in the follow-up were attributed to inferior biological response and failure of healing in the bone-graft interface ( Ferrando et al, 2021 ). The reasons for the failure of these materials need detailed specific research on the cellular level since various enzymatic reactions and molecular signaling factors involve wound healing and cell proliferation.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Cell Behavior and Growth Characteristics of the Porcine Dermal Xenograft Patch in Relation to the Surface Properties

Aydemir

Eren

Demirhan

et al. 2022

Front. Bioeng. Biotechnol.

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Superior capsular reconstruction using a porcine dermal xenograft for irreparable rotator cuff tears: outcomes at minimum two-year follow-up

Cited by 27 publications

References 26 publications

Arthroscopic Superior Capsular Reconstruction with Achilles Tendon Allograft for Massive and Revision Rotator Cuff Tears

Arthroscopic Superior Capsular Reconstruction with Achilles Tendon Allograft for Massive and Revision Rotator Cuff Tears

Advancement in Arthroscopic Superior Capsular Reconstruction for Irreparable Massive Rotator Cuff Tear

Evaluation of the Cell Behavior and Growth Characteristics of the Porcine Dermal Xenograft Patch in Relation to the Surface Properties

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