Partial-Thickness Rotator Cuff Tear

Partial-thickness tears of the bursal or articular side of the rotator cuff may be treated with traditional repair techniques or biologic augmentation.

PASTA-Rekonstruktionstechnik

Die PASTA-Bridge-Technik ermöglicht die transtendinöse Versorgung von partiellen gelenkseitigen Rupturen der Supraspinatus-Sehne. Diese Technik vereinfacht die PASTA-Versorgung und bietet gleichzeitig ein sicheres Konstrukt, das den Kontakt zwischen Knochen und Sehne aufgrund des erhöhten Anpressdrucks im Footprint erhöht.
Bei diesem Verfahren werden die Anker perkutan oder transtendinös eingebracht, ohne dass dabei ein arthroskopischer Fadendurchzug erfolgen bzw. der Faden geknotet werden muss. Dadurch wird das Verfahren einfach und reproduzierbar.

CuffMend™ Partial-Thickness Rotator Cuff Augmentation

The CuffMend system provides an efficient, simplified approach for augmenting partial-thickness rotator cuff tears. The system employs the benefits of a thick ArthroFlex® dermal allograft, which provides mechanical strength and allows healing.^1-3 Components include a graft spreader, FiberStitch™ RC implants for medial soft-tissue fixation, and self-punching PushLock® anchors for lateral fixation over the tuberosity footprint. Implantation of the CuffMend system is designed to be completed in less than 10 minutes. Scientific literature demonstrates improved functional results and a decreased retear incidence using acellualr dermal grafts for rotator cuff augmentation.⁴
^References

_{1. Ely EE, Figueroa NM, Gilot GJ. Biomechanical analysis of rotator cuff repairs with extracellular matrix graft augmentation.}_Orthopedics._{2014;37(9):608–614. doi:10.3928/01477447-20140825-05}
_{2. Smith MJ, Bozynski CC, Kuroki K, Cook CR, Stoker AM, Cook JL. Comparison of biologic scaffolds for augmentation of partial rotator cuff tears in a canine model.}_{J Shoulder Elbow Surg.}_{2020;29(8):1573–1583. doi:10.1016/j.jse.2019.11.028}
_{3. Arthrex, Inc. Data on file (Biomechanical properties of tendon augmentation material; LA0822-EN, TR-4926). Naples, FL; 2011.}
_{4. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, Westerdahl D, Krill M, Peck E. Outcome of large to massive rotator cuff tears repaired with and without extracellular matrix augmentation: a prospective comparative study.}_Arthroscopy._{2015;31(8):1459–1465. doi:10.1016/j.arthro.2015.02.032}
_{ArthroFlex is a registered trademark of LifeNet Health.}