PMID- 34890027
OWN - NLM
STAT- MEDLINE
DCOM- 20220211
LR  - 20220211
IS  - 1439-0981 (Electronic)
IS  - 0934-6694 (Linking)
VI  - 34
IP  - 1
DP  - 2022 Feb
TI  - Arthroscopic rotator cuff repair with biologically enhanced patch augmentation.
PG  - 4-12
LID - 10.1007/s00064-021-00754-3 [doi]
AB  - OBJECTIVE: The purpose of this guide is to illustrate an arthroscopic rotator 
      cuff repair (RCR) with two techniques for biologically enhanced patch 
      augmentation. INDICATIONS: Massive rotator cuff tears (> 5 cm) and revision RCR. 
      CONTRAINDICATIONS: Active joint or systemic infection; severe fatty muscle 
      atrophy; severe glenohumeral arthropathy; American Society of Anesthesiologists 
      Physical Status (ASA PS) IV. SURGICAL TECHNIQUE: Dermal allograft patch augmented 
      with concentrated bone marrow aspirate (cBMA), platelet-rich plasma (PRP) and 
      platelet-poor plasma (PPP); or Regeneten patch augmented with bursa, PRP, PPP, 
      and autologous thrombin. POSTOPERATIVE MANAGEMENT: A 30 degrees  abduction sling for 
      6 weeks; unrestricted active-assisted external rotation and forward elevation 
      after 12 weeks; focus on restoration of scapular stability and strength. RESULTS: 
      A total of 22 patients received revision massive RCR using a dermal allograft 
      patch enhanced with cBMA and PRP with a mean follow-up of 2.5 years 
      (1.0-5.8 years). There was a significant improvement in the preoperative Simple 
      Shoulder Test (SST). There was also a trend towards improved pain and American 
      Shoulder and Elbow Surgeons (ASES) Shoulder Score. In this cohort, 45% reached 
      the minimal clinically important difference (MCID), 41% achieved substantial 
      clinical benefit (SCB), and 32% had a patient-acceptable symptomatic state (PASS) 
      for the ASES score. Preliminary data using the Regeneten patch technique with 
      bursa, PRP, PPP, and autologous thrombin was prospectively collected in five 
      patients between 05/2020 and 03/2021 at the author's institution. Mean follow-up 
      was 6.5 +/- 1.3 (6-8 months). There was an improvement from preop to postop in 
      pain, ASES, SANE, Constant-Murley (CM) score and active range of motion.
CI  - (c) 2021. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, 
      ein Teil von Springer Nature.
FAU - Berthold, Daniel P
AU  - Berthold DP
AD  - Department of Orthopaedic Sports Medicine, Technical University of Munich, 
      Ismaninger Str. 22, 81675, Munich, Germany. daniel.berthold@mri.tum.de.
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA. daniel.berthold@mri.tum.de.
FAU - Garvin, Patrick
AU  - Garvin P
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
FAU - Mancini, Michael R
AU  - Mancini MR
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
FAU - Uyeki, Colin L
AU  - Uyeki CL
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
FAU - LeVasseur, Matthew R
AU  - LeVasseur MR
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
FAU - Mazzocca, Augustus D
AU  - Mazzocca AD
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
FAU - Voss, Andreas
AU  - Voss A
AD  - Department of Orthopaedic Sports Medicine, Technical University of Munich, 
      Ismaninger Str. 22, 81675, Munich, Germany.
AD  - Department of Orthopaedic Surgery, University of Connecticut Health Center, 
      Farmington, CT, USA.
LA  - eng
PT  - Journal Article
PT  - Review
TT  - Arthroskopische Rekonstruktion der Rotatorenmanschette mit biologisch 
      unterstutzter Patchaugmentation.
DEP - 20211210
PL  - Germany
TA  - Oper Orthop Traumatol
JT  - Operative Orthopadie und Traumatologie
JID - 9604937
SB  - IM
MH  - Arthroplasty
MH  - Arthroscopy
MH  - Humans
MH  - *Rotator Cuff/diagnostic imaging/surgery
MH  - *Rotator Cuff Injuries/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Allograft
OT  - Patch
OT  - Revision
OT  - Rotator cuff
OT  - Shoulder arthroscopy
EDAT- 2021/12/11 06:00
MHDA- 2022/02/12 06:00
CRDT- 2021/12/10 12:28
PHST- 2021/05/20 00:00 [received]
PHST- 2021/07/12 00:00 [accepted]
PHST- 2021/06/20 00:00 [revised]
PHST- 2021/12/11 06:00 [pubmed]
PHST- 2022/02/12 06:00 [medline]
PHST- 2021/12/10 12:28 [entrez]
AID - 10.1007/s00064-021-00754-3 [pii]
AID - 10.1007/s00064-021-00754-3 [doi]
PST - ppublish
SO  - Oper Orthop Traumatol. 2022 Feb;34(1):4-12. doi: 10.1007/s00064-021-00754-3. Epub 
      2021 Dec 10.