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Massive Rotator Cuff Repair With All-Arthroscopic Patch Augmentation

A Surgical Technique

Levy, David M. MD; Chalmers, Peter N. MD; Trenhaile, Scott W. MD; Bach, Bernard R. Jr MD; Romeo, Anthony A. MD; Verma, Nikhil N. MD

Techniques in Shoulder & Elbow Surgery: June 2016 - Volume 17 - Issue 2 - p 83–87
doi: 10.1097/BTE.0000000000000074
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Surgical management of massive rotator cuff tears is plagued by structural failure rates as high as 94%. Multiple arthroscopic and open techniques have been described, but there is no current gold standard. Biological healing at the tendon footprint is key to avoiding failure. Xenograft patch placement has been described as a possible technique to augment the biology of rotator cuff repair when tendon quality is compromised. The purpose of this article is to describe an all-arthroscopic technique of patch augmentation for repair of massive rotator cuff tears.

*Department of Orthopaedic Surgery, Rush University Medical Center, Chicago

Rockford Orthopaedic Associates, Rockford, IL

S.W.T. receives royalties from and is a paid presenter and consult for Smith & Nephew and receives research support from Auxillium Pharmaceuticals Inc. B.R.B. receives research support from Arthrex Inc., CONMED Linvatec, DJ Orthopaedics, Ossur, Smith & Nephew, and Tornier and receives royalties from SLACK Incorporated. A.A.R. receives royalties from, speaks on behalf of, and is a paid consultant for Arthrex Inc.; he receives research support from Arthrex Inc., DJO Surgical, Smith & Nephew, and Ossur; and he receives royalties or other financial support from Arthrex Inc., DJO Surgical, and Saunders/Mosby-Elsevier. N.N.V. receives royalties from, is on the advisory board for, and is a paid consult for Smith & Nephew; he is also a paid consultant for and receives stock or stock options from Minivasive; he receives stock or stock options from Cymedica and Omeros; he receives research support from Arthrex Inc., Smith & Nephew, Athletic, ConMed Linvatec, Miomed, Mitek, Arthrosurface, DJ Orthopaedics, Major League Baseball, and the Arthroscopic Association of North America; and he receives royalties or other financial support from Vindico Medical-Orthopedics Hyperguide and Arthroscopy. D.M.L. and P.N.C. declare no conflict of interest.

Reprints: David M. Levy, MD, Department of Orthopaedic Surgery, Rush University Medical Center, 1611W. Harrison St. Suite 200, Chicago, IL 60612 (e-mail: davidlevy42@gmail.com).

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