2022 AOSSM Annual Meeting Recordings with CME-Complex Rotator Cuff Repair: Healing Rates and Role for SCR

Video Transcription

Video Summary

In this video, the speaker discusses rotator cuff repairs and the challenges associated with retears. They highlight the high incidence of cuff tears among older individuals and the failure rates ranging from 6% to 94%. The speaker also discusses various factors that can affect healing rates, including tear size, tendon retraction, muscle atrophy, and tissue quality. Different surgical techniques, such as suture bridge or transosseous equivalent, are explored, with evidence suggesting that the suture bridge technique may work better for large and massive tears. The use of biologic factors like platelet-rich plasma (PRP) is mentioned as a potential way to improve healing rates. The speaker also discusses the use of allograft or autograft in cuff repair, particularly in the context of augmentation or superior capsule reconstruction (SCR). Studies show that allograft augmentation can significantly reduce re-tear rates, while SCR can provide good clinical results in select patients. Cost-effectiveness considerations are also discussed, with dermal allograft showing promise in reducing re-tear and revision rates. The speaker concludes by providing recommendations for using allograft augmentation or SCR based on tear size, fatty infiltration, patient factors, age, and other considerations.

Asset Caption

Katherine Burns, MD

Keywords

rotator cuff repairs

retears

cuff tears

failure rates

suture bridge technique