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The purpose of this study was to assess the impact and potential advantage of a novel synthetic patch augmentation in repair of massive rotator cuff (RC) tears, using clinical and radiological approaches. The investigators hypothesized that implanting this patch will improve individual shoulder function, while reducing re-tear rates compared to the current literature.
To evaluate this, patches were implanted into 54 shoulders and prospectively followed up clinically and radiologically.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| arthroscopic rotator cuff repair with a polyester patch | Procedure | Patients were operated under general anesthesia and a supraclavicular nerve block, in a beach-chair position with 80° forward shoulder flexion and traction between 3-5 kg. After washing and draping a standard viewing portal was placed at the dorsal softspot. Further portals included, a lateral, a dorso-lateral, an antero-lateral and an anterior portal. If additional pathologies were present, they were treated simultaneously and mostly involved the long head of the biceps tendon, treated with tenodesis or tenotomy respectively. After a thorough bursectomy, the rupture was fully visualized and thereafter its size was estimated. Following debridement of the footprint, we used a triple row repair and implanted the patch. |
| Measure | Description | Time Frame |
|---|---|---|
| Function assessed with the Constant-Murley-Score | 25 months | |
| Function assessed with the Subjective Shoulder Value | 25 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tendon integrity evaluated radiologically | 1-35 months |
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Inclusion Criteria:
Exclusion Criteria:
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54 patients (38 male / 16 female) 54 shoulders (29 right / 25 left) Mean patient age at the time of surgery was 65 years (range 41 - 75).
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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