IC107-2021: Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium-Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium (1/3)

Large Rotator Cuff Tears: Repair, Release, Patch, SCR, Reverse: A Case-Based Symposium (1/3)

Video Transcription

Video Summary

In this video, the speaker discusses the utilization of graphs in rotator cuff repairs. The speaker explains that the goal of rotator cuff repair is to get the tendon to heal to the bone for better function and long-term durability. However, re-tears are common due to the compromised biological healing environment. Graphs can provide both biomechanical and biological improvements to the healing environment. Biomechanically, graphs can increase the strength of the repair, while biologically, the 3D architecture of the graphs can support vascular and cellular in-growth. The speaker presents their algorithm for dealing with massive tears and discusses the use of augmentation graphs for repairable tears. They also discuss the use of bridging graphs and superior capsule reconstruction for irreparable tears. The speaker highlights the importance of the subscapularis and posterior cuff integrity in determining the success of these procedures. The efficacy of different types of graphs and procedures is still unclear, and more studies are needed.

Asset Caption

Ian Lo, MD

Keywords

graphs

rotator cuff repairs

tendon healing

re-tears

biomechanical improvements

biological improvements