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

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

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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

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

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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

Educational Resources and Products

CuffMend™ Rotator Cuff Repair Augmentation System

Surgical Technique Animations | 03:04 | English | 02/07/2024 | AN1-000270-en-US D

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

Surgical Technique Videos | 05:38 | English | 12/22/2023 | VID1-004077-en-US A
Graft Augmentation of Repairable Rotator Cuff Tears: An Algorithmic Approach Based on Healing Rates
Graft Augmentation of Repairable Rotator Cuff Tears: An Algorithmic Approach Based on Healing Rates
Patrick J. Denard, MD
Presentation Videos | 09:16 | English | 08/29/2023 | VID1-003194-en-US A
CuffMend™ Rotator Cuff Augmentation System
CuffMend™ Rotator Cuff Augmentation System
Surgical Technique Guides | English | 01/04/2024 | LT1-000201-en-US E
Evidence for Rotator Cuff Augmentation With ECM
Evidence for Rotator Cuff Augmentation With ECM
Brian J. Cole, MD, MBA
Presentation Videos | 09:45 | English | 11/18/2021 | VID1-002713-en-US A
Predictive Healing Score for Decision-Making
Predictive Healing Score for Decision-Making
Brochures | English | 07/03/2023 | DOC1-000787-en-US B
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Surgical Technique Videos (1)


Surgical Technique Animations (1)

CuffMend™ Rotator Cuff Repair Augmentation System
CuffMend™ Rotator Cuff Repair Augmentation System
03:04 | English | 02/07/2024 | AN1-000270-en-US D

Surgical Technique Guides (1)

CuffMend™ Rotator Cuff Augmentation System
CuffMend™ Rotator Cuff Augmentation System
English | 01/04/2024 | LT1-000201-en-US E

Brochures (1)

Predictive Healing Score for Decision-Making
Predictive Healing Score for Decision-Making
English | 07/03/2023 | DOC1-000787-en-US B

Coding Guides (2)


Customer Service (1)


Office Forms & Reference Documents (1)


Presentation Videos (2)

Graft Augmentation of Repairable Rotator Cuff Tears: An Algorithmic Approach Based on Healing Rates
Graft Augmentation of Repairable Rotator Cuff Tears: An Algorithmic Approach Based on Healing Rates
Patrick J. Denard, MD
09:16 | English | 08/29/2023 | VID1-003194-en-US A
Evidence for Rotator Cuff Augmentation With ECM
Evidence for Rotator Cuff Augmentation With ECM
Brian J. Cole, MD, MBA
09:45 | English | 11/18/2021 | VID1-002713-en-US A

Scientific Updates (1)


Surgeon Newsletters (2)

Scope This Out Volume 25, Number 01
Scope This Out Volume 25, Number 01
English | 02/09/2024 | LN1-000570-en-US A
Scope This Out, Volume 23, Number 1
Scope This Out, Volume 23, Number 1
English | 03/14/2022 | LN1-000401-en-US A
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