ISSN: 1859 - 2872
Patch augmentation in the repair of large rotator cuff tears - preliminary clinical outcomes
Main Article Content
Keywords
Abstract
Objective: To evaluate the preliminary clinical outcomes of patch-augmented rotator cuff repair for the treatment of large rotator cuff tears at Saigon ITO Phu Nhuan Hospital. Subject and method: A retrospective case-series study was conducted on patients with large rotator cuff tears treated with arthroscopic rotator cuff repair and patch augmentation. Clinical outcomes were assessed at four time points: preoperatively (L1), 3 months postoperatively (L2), 6 months postoperatively (L3), and at the latest postoperative follow-up (L4), with a minimum follow-up duration of 7 months. The Constant–Murley and University of California, Los Angeles (UCLA) shoulder scores were used to evaluate pain, shoulder function, and range of motion. Result: The study included 9 patients, consisting of 5 males and 4 females. The mean age was 63.78 ± 8.14 years, ranging from 55 to 81 years. The mean Constant-Murley score increased from 38.6 ± 10.8 before surgery to 77.3 ± 5.2 at the latest follow-up. The mean UCLA score improved from 10.7 ± 3.3 to 32.4 ± 1.8. After surgery, pain decreased, while shoulder range of motion and function gradually improved over the follow-up periods. At the final assessment, most patients achieved good-to-excellent UCLA outcomes at final follow-up. During follow-up, no major complications requiring reintervention were recorded. Conclusion: Rotator cuff repair with patch augmentation showed favorable initial clinical outcomes in patients with large rotator cuff tears. These findings suggest that patch-augmented rotator cuff repair is a feasible treatment option for selected patients with reparable large rotator cuff tears.
Article Details
References
2. Cobb TE, Dimock RAC, Memon SD, Consigliere P, Ajami S, Imam M et al (2022) Rotator Cuff Repair With Patch Augmentation: What Do We Know? Arch Bone Jt Surg 10(10): 833-846.
3. Russo M, Dirkx GK, Rosso C (2024) Patch augmentation in arthroscopic rotator cuff surgery-review of current evidence and newest trends. J Clin Med 13(17): 5066.
4. Yanke A, Dandu N, Credille K, Damodar D, Wang Z, Cole BJ (2023) Indications and technique: Rotator cuff repair augmentation. J Am Acad Orthop Surg 31(24): 1205-1210.
5. Ferguson DP, Lewington MR, Smith TD, Wong IH (2016) Graft Utilization in the Augmentation of Large-to-Massive Rotator Cuff Repairs: A Systematic Review. Am J Sports Med 44(11): 2984-2992.
6. Yoon JP, Chung SW, Kim JY, Lee BJ, Kim HS, Kim JE, et al (2016) Outcomes of Combined Bone Marrow Stimulation and Patch Augmentation for Massive Rotator Cuff Tears. Am J Sports Med 44(4): 963-971.
7. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, Westerdahl D, Krill M, Peck E (2015) Outcome of large to massive rotator cuff tears repaired with and without extracellular matrix augmentation: A prospective comparative study. Arthroscopy 31(8): 1459-1465.
8. Hồ Văn Duy Ân, Nguyễn Văn Ơn, Lê Đình Khoa, Lê Nhật Thành, Trần Ngọc Chọn (2024) Khâu chóp xoay kèm tăng cường mảnh ghép đồng loại trong rách lớn chóp xoay kèm thoái hóa mỡ nặng: Hiệu quả trong giảm tỷ lệ rách lại tối ưu? - Nghiên cứu ngắn hạn. Tạp chí Y học cộng đồng 65(11): 115-119.
9. Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP (2012) Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 28(2): 154-159.
10. Kim JS, Kim SC, Park JH, Kim HG, Kim BT, Kim DY, et al (2023) Arthroscopic incomplete rotator cuff repair with patch augmentation using acellular dermal matrix allograft. Arthrosc Tech 12(12): 2203-2209.
11. Avanzi P, Giudici LD, Capone A, Cardoni G, Lunardi G, Foti G et al (2019) Prospective randomized controlled trial for patch augmentation in rotator cuff repair: 24-month outcomes. J Shoulder Elbow Surg 28(10): 1918-1927.
Article Sidebar
