Rotator Cuff Augmentation

Approximately 20% of patients experience failed healing after primary rotator cuff repair, with up to 86% of failures occurring at the suture–tendon interface.1,2 Augmentation of rotator cuff repairs may improve biomechanical strength and tendon healing rates.3-6 The CuffMend™ technique provides a simplified technique for augmenting the rotator cuff using human dermal allograft, autograft biceps tendon, or SuturePatch tissue reinforcement.

References

1. Kwon J, Kim SH, Lee YH, Kim TI, Oh JH. The Rotator Cuff Healing Index: a new scoring system to predict rotator cuff healing after surgical repair. Am J Sports Med. 2019;47(1):173-180. doi:10.1177/0363546518810763

2. Cummins CA, Murrell GA. Mode of failure for rotator cuff repair with suture anchors identified at revision surgery. J Shoulder Elbow Surg. 2003;12(2):128-133. doi:10.1067/mse.2003.21

3. Barber FA, Burns JP, Deutsch A, Labbé MR, Litchfield RB. A prospective, randomized evaluation of acellular human dermal matrix augmentation for arthroscopic rotator cuff repair. Arthroscopy. 2012;28(1):8-15. doi:10.1016/j.arthro.2011.06.038

4. Bailey JR, Kim C, Alentorn-Geli E, et al. Rotator cuff matrix augmentation and interposition: a systematic review and meta-analysis. Am J Sports Med. 2019;47(6):1496-1506. doi:10.1177/0363546518774762

5. Omae H, Steinmann SP, Zhao C, et al. Biomechanical effect of rotator cuff augmentation with an acellular dermal matrix graft: a cadaver study. Clin Biomech (Bristol, Avon). 2012;27(8):789-792. doi:10.1016/j.clinbiomech.2012.05.001

6. 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

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Approximately 20% of patients experience failed healing after primary rotator cuff repair, with up to 86% of failures occurring at the suture–tendon interface.1,2 Augmentation of rotator cuff repairs may improve biomechanical strength and tendon healing rates.3-6 The CuffMend™ technique provides a simplified technique for augmenting the rotator cuff using human dermal allograft, autograft biceps tendon, or SuturePatch tissue reinforcement.

References

1. Kwon J, Kim SH, Lee YH, Kim TI, Oh JH. The Rotator Cuff Healing Index: a new scoring system to predict rotator cuff healing after surgical repair. Am J Sports Med. 2019;47(1):173-180. doi:10.1177/0363546518810763

2. Cummins CA, Murrell GA. Mode of failure for rotator cuff repair with suture anchors identified at revision surgery. J Shoulder Elbow Surg. 2003;12(2):128-133. doi:10.1067/mse.2003.21

3. Barber FA, Burns JP, Deutsch A, Labbé MR, Litchfield RB. A prospective, randomized evaluation of acellular human dermal matrix augmentation for arthroscopic rotator cuff repair. Arthroscopy. 2012;28(1):8-15. doi:10.1016/j.arthro.2011.06.038

4. Bailey JR, Kim C, Alentorn-Geli E, et al. Rotator cuff matrix augmentation and interposition: a systematic review and meta-analysis. Am J Sports Med. 2019;47(6):1496-1506. doi:10.1177/0363546518774762

5. Omae H, Steinmann SP, Zhao C, et al. Biomechanical effect of rotator cuff augmentation with an acellular dermal matrix graft: a cadaver study. Clin Biomech (Bristol, Avon). 2012;27(8):789-792. doi:10.1016/j.clinbiomech.2012.05.001

6. 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

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CuffMend™-Technik zur Augmentation der Rotatorenmanschette
CuffMend™-Technik zur Augmentation der Rotatorenmanschette
Das CuffMend-System bietet eine effiziente, einfache Methode zur Augmentation von partiellen oder kompletten Rotatorenmanschettenrissen. Das System nutzt die Vorteile eines starken dermalen ArthroFlex-Allografts, das mechanische Festigkeit gewährleistet und den Heilungsprozess unterstützt.1,2 Das Transplantat wird mithilfe des Transplantatspreizers eingeführt und es wird ein FiberStitch-RC-Implantat zur medialen Fixierung des Weichteilgewebes an der Rotatorenmanschettensehne eingesetzt. Zur lateralen Fixierung im Knochen wird das Transplantat mithilfe von selbststanzenden PushLock-Ankern am Footprint im Bereich des Tuberculums befestigt. Die Implantation des CuffMend-Systems kann in weniger als 10 Minuten erfolgen. Die wissenschaftliche Literatur beschreibt die Verwendung azellulärer Dermistransplantate als eine sichere und effiziente Lösung für die Rotatorenmanschettenaugmentation.3
Referenzen
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. 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