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Arthroscopic Rotator Cuff Repair Using Absorbable Biologic Augment

February 19, 2016

Contributors: David Kovacevic, MD; Russell Eric Holzgrefe, BS; Justin W Griffin, MD; Stephen F Brockmeier, MD

Rotator cuff tears affect more than 40% of individuals older than 60; arthroscopic repair has been the standard for over a decade. Recurrent tears of large to massive rotator cuff repairs at two-year follow up has been reported as high as 94%. Recent advances in repair techniques and surgical devices have lowered reported incidence of recurrent tears to 9-12%. In total, 30% of primary and revision tears are considered irreparable. Biologic augments have shown promising initial results in massive RTC tears. In our recent prospective, multi-center study, arthroscopic rotator cuff repair with absorbable biologic poly 4-hydroxybutyrate (P4HB) augmentation demonstrates excellent clinical outcomes based on validated scores and physical examination for motion and strength, with an overall rate of full-thickness retear of 4.4% at 1 year. We present a case report and surgical technique demonstrating arthroscopic rotator cuff repair using an absorbable biologic augment made of P4HB in a 74 yo M with massive rotator cuff tear refractory to conservative treatment.

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