Browsing by Subject "Arthroscopic rotator cuff repair"

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    Full-thickness arthroscopic rotator cuff repair demonstrates low repair failure rates and high return to sport rates in patients aged 30 years and under at 9-year follow-up: A single-center case series
    (Sage, 2025-01-12) Ifarraguerri, Anna M.; Berk, Alexander N.; Gachigi, Kennedy K.; Collins, Michael S.; Dib, Aseel; Siparsky, Patrick; Schiffern, Shadley; Hamid, Nady; Martin, Anthony; Saltzman, Bryan M.; Orthopaedic Surgery, School of Medicine
    Purpose: The purpose of this study is to assess the long-term clinical complications, outcomes, and return to sport (RTS) rates in patients aged 30 or younger with a primary full-thickness arthroscopic rotator cuff repair (ARCR). Methods: All patients who underwent a primary full-thickness ARCR at age 30 years or younger from 2003 to 2021 with a minimum of a 2-year follow-up were included. Complications, repeat surgeries, and return to sport rates were collected. Results: 32 patients underwent primary full-thickness rotator cuff repair with a mean follow-up of 9.3[2.7-17.9] years. 5(15.6%) patients had postoperative shoulder stiffness, and persistent postoperative shoulder pain was reported in 4(12.5%) patients. There were 3(9.4%) reported repair failures, with complete rotator cuff re-tears reported in 2(6.3%) shoulders and partial rotator cuff re-tear in 1(3.1%) shoulder. There were 4(12.5%) reoperations at an average of 8.7[0.65-22.7] months from primary rotator cuff repair and 2(6.3%) revision rotator cuff repairs. There was a 78.6% RTS rate at an average of 6.5[4-12] months postoperatively, with 8(72.7%) athletes returning to the sport at the same level they initially participated in pre-surgery. Conclusion: Patients aged 30 and under who underwent full-thickness ARCR experienced promising clinical outcomes at an average 9-year follow-up.
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    Rotator Cuff Repair Augmented With Interpositional Nanofiber Scaffold
    (Elsevier, 2022-12-21) Beleckas, Casey M.; Bishai, Shariff K.; Badman, Brian L.; Orthopaedic Surgery, School of Medicine
    Despite advances in arthroscopic rotator cuff repair, failure rates up to 94% have been reported in the literature for large tears, with rates as high as 36% for small and medium tears. One strategy for improving outcomes is augmentation with a patch, which has typically been incorporated onto the bursal portion of the repaired tendon and been made up of either dermal or bovine collagen tissue. The Rotium wick (Atreon Orthopedics, Columbus, OH)-an interpositional augmentation-is a nanofiber scaffold that is meant to be sandwiched between the rotator cuff and humerus at the bone-tendon interface and is currently the only implant approved by the US Food and Drug Administration to be used in this manner. The scaffold works to improve the cellular organization of the basement membrane during tendon healing at the enthesis and, in a recent sheep study, has been shown to better replicate the natural Sharpey-like fibers similar to the native tendon and increase the strength of the repair more rapidly. The purpose of this Technical Note is to describe the means for use of an interpositional nanofiber scaffold for arthroscopic rotator cuff repair.