CuffMend™ Rotator Cuff Augmentation Technique

The CuffMend system provides an efficient, simplified approach for augmenting partial- and full-thickness rotator cuff tears. The system employs the benefits of a thick ArthroFlex® dermal allograft, which provides mechanical strength and supports healing.^1,2 Introduce the graft using the graft spreader and use the FiberStitch™ RC implant for medial soft-tissue fixation to the rotator cuff tendon. Use self-punching PushLock^® anchors, spanning the graft over the tuberosity footprint, for lateral bony fixation. Implantation of the CuffMend system is designed to be completed in less than 10 minutes. Scientific literature supports the use of acellular dermal grafts as a safe and effective solution for rotator cuff augmentation.³

_{ArthroFlex is a registered trademark of LifeNet Health.}

^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. 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.}

^References

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Rotator Cuff Healing Index (RoHI) Risk Factors

Almost 1 in 5 people fail to heal their primary rotator cuff repair. Many factors influence the risk of failure in tendon healing. A 15-point scoring index (RoHI) was developed to predict healing of the rotator cuff and allows for consideration of when to use graft augmentation to improve biomechanical strength and tendon healing.¹

Reference

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

AR-19042

CuffMend Implant System w/ ATCS Plates Includes two FiberStitch 1.5 curved RC Implants, two 3.5 mm BC PushLock anchors w/ SP PEEK Eyelet, a 4 Layer ATCS Plate w/ three #0 FiberWire sutures w/ needle and two 0.9 FiberLink SutureTapes w/ needle, one each MegaLoader, graft spreader, knot pusher/suture cutter w/ portal skid

CuffMend Implant System includes two FiberStitch 1.5 curved RC Implants, two 3.5 mm BC PushLock anchors w/ SP PEEK Eyelet, one each MegaLoader, graft spreader, knot pusher/suture cutter w/ portal skid

CuffMend™ Rotator Cuff Augmentation Technique

Rotator Cuff Healing Index (RoHI) Risk Factors

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CuffMend™ Augmentation of a Full-Thickness Rotator Cuff Tear Using FiberStitch™ RC Simple and SpeedFLEX™ Implants

CuffMend™ Rotator Cuff Augmentation System Features and Benefits

CuffMend™ Rotator Cuff Augmentation: Second-Look Surgery at 6 Weeks

CuffMend™ Surgical Technique Featuring FiberStitch™ RC

CuffMend™ Rotator Cuff Repair Augmentation System

CuffMend™ Rotator Cuff Augmentation System

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Surgical Technique Videos (8)

CuffMend™ Augmentation of a Full-Thickness Rotator Cuff Tear Using FiberStitch™ RC Simple and SpeedFLEX™ Implants

Posterior-Approach CuffMend™ Augmented Rotator Cuff Repair With FiberStitch™ RC

CuffMend™ Augmented Rotator Cuff Repair With FiberStitch™ RC Implant

CuffMend™ Rotator Cuff Augmentation With the Synergy Vision™ Imaging System and Nano Vision™ Feature

Graft Preparation for CuﬀMend™ Rotator Cuﬀ Augmentation System

CuffMend™ Rotator Cuff Augmentation Using Knotless SwiveLock® Anchors for Lateral Fixation

Graft Preparation for CuffMend™ Posterior Approach

CuffMend™ Surgical Technique Featuring FiberStitch™ RC

Surgical Technique Animations (1)

CuffMend™ Rotator Cuff Repair Augmentation System

Surgical Technique Guides (2)

CuffMend™ Rotator Cuff Augmentation System

CuffMend™-System zur Augmentation der Rotatorenmanschette

Brochures (1)

Rotator Cuff and Biceps Product Innovations

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CuffMend™ Rotator Cuff Augmentation System: My First 50 Cases

Case Presentation: CuffMend™ Rotator Cuff Augmentation for a Partial-Thickness Tear

CuffMend™ Rotator Cuff Augmentation Using the Autograft Tissue Compression System With a Biceps Tendon Autograft

CuffMend™ Rotator Cuff Augmentation: Second-Look Surgery at 6 Weeks

My First 300 CuffMend™ Rotator Cuff Augmentation Cases

When to Consider CuffMend™ Augmentation in Patients With a Lower RoHI Score

Catalogs (1)

Shoulder and Elbow Next Generation in Repair and Reconstruction

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Rotator Cuff Repair Augmentation With Biceps Tendon Autograft 2026 Coding and Reimbursement Guidelines

CuffMend™ Rotator Cuff Repair Augmentation System 2026 Coding and Reimbursement Guidelines

SpeedFLEX™ Implant 2026 Coding and Reimbursement Guidelines

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Rotator Cuff Repair with ArthroFlex Letter of Medical Necessity Template

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Graft Augmentation of Repairable Rotator Cuff Tears: An Algorithmic Approach Based on Healing Rates

Evidence for Rotator Cuff Augmentation With ECM

Product Demonstrations (1)

CuffMend™ Rotator Cuff Augmentation System Features and Benefits

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Predictive Healing Score for Decision-Making

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Dermal Allograft Augmentation of Rotator Cuff Repair Scientific Update

SpeedPearls (5)

SpeedPearl: CuffMend™ Lateral Portal Placement

SpeedPearl: Alternative FiberStitch™ RC Fixation Method for CuffMend™ Rotator Cuff Augmentation Procedure

SpeedPearl: Portal Placement for CuffMend™ Rotator Cuff Augmentation With FiberStitch™ RC

SpeedPearl: Opening the CuffMend™ Graft Spreader in a Tight Space

SpeedPearl: Using the ApolloRF® i90 Probe for CuffMend™ Rotator Cuff Augmentation Technique

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Scope This Out Volume 27, Number 1

Scope This Out Volume 26, Number 2

Scope This Out Volume 26 Number 1

Scope This Out Volume 25, Number 01

Implant Systems (8)

Implant Systems (8)

AR-19042

AR-19043

AR-19033S

AR-19033C

AR-19032S

AR-19032C

AR-1926BCSP

AR-1926PSSP

Instrumentation and Graft Preparation (8)

Instrumentation and Graft Preparation (8)

AR-5845

AR-19007GS

SpeedPearl: Using the Apollo^RF® i90 Probe for CuffMend™ Rotator Cuff Augmentation Technique