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Factors Affecting Rotator Cuff Healing

Mall, Nathan A. MD; Tanaka, Miho J. MD; Choi, Luke S. MD; Paletta, George A. Jr. MD

Journal of Bone & Joint Surgery - American Volume: 7 May 2014 - Volume 96 - Issue 9 - p 778–788
doi: 10.2106/JBJS.M.00583
Current Concepts Review
Disclosures

➤ Several studies have noted that increasing age is a significant factor for diminished rotator cuff healing, while biomechanical studies have suggested the reason for this may be an inferior healing environment in older patients.

➤ Larger tears and fatty infiltration or atrophy negatively affect rotator cuff healing.

➤ Arthroscopic rotator cuff repair, double-row repairs, performing a concomitant acromioplasty, and the use of platelet-rich plasma (PRP) do not demonstrate an improvement in structural healing over mini-open rotator cuff repairs, single-row repairs, not performing an acromioplasty, or not using PRP.

➤ There is conflicting evidence to support postoperative rehabilitation protocols using early motion over immobilization following rotator cuff repair.

1Regeneration Orthopedics, 6 McBride and Son Center Drive, Suite 204, St. Louis, MO 63005. E-mail address for N.A. Mall: nathanmall@yahoo.com. E-mail address for L.S. Choi: lukeschoi@gmail.com. E-mail address for G.A. Paletta Jr.: gpaletta@toc-stl.com

Copyright 2014 by The Journal of Bone and Joint Surgery, Incorporated
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