Clinical outcomes and structural integrity rate of arthroscopic augmented rotator cuff repairs using extracellular porcine matrix patch.

Autor:	Consigliere P; Wythenshawe Hospital, Manchester University NHS FT, Manchester UK.; Reading Shoulder Unit, Reading, UK., Bernasconi A; Department of Public Health, University Federico II of Naples., Dimock R; Department of Trauma and Orthopaedics, Ashford & St Peters NHS FT, Chertsey, UK., Narvani AA; Department of Trauma and Orthopaedics, Ashford & St Peters NHS FT, Chertsey, UK.; Fortius Clinic London, London, UK.
Jazyk:	angličtina
Zdroj:	Shoulder & elbow [Shoulder Elbow] 2022 Jul; Vol. 14 (1 Suppl), pp. 38-51. Date of Electronic Publication: 2021 Jan 20.
DOI:	10.1177/1758573220982607
Abstrakt:	Background: Structural failure rate in rotator cuff repairs is still high. The purpose of the study is to assess the structural integrity of a series of augmented rotator cuff repairs with porcine matrix patch and report the functional outcomes. Methods: Between 2014 and 2017, 44 consecutive patients underwent arthroscopic double-row repair of medium to massive rotator cuff tears with extracellular porcine dermal matrix augmentation. At one-year follow-up, magnetic resonance imaging scan was performed to assess the integrity of the repair. Oxford Shoulder Score (OSS), Constant Score (CS) and Visual Analogue Scale pain score, together with range of motion were used to assess patients. Results: Patients mean age was 68 (53-82); mean follow-up was 17.2 (12-24) months. On magnetic resonance imaging scans, seven rotator cuff repair failures (15.9%) were observed: tear size was an independent predictor of re-rupture at one-year follow-up. Clinical scores showed a statistically significant improvement at three months and until final follow-up ( p < 0.001). No complications occurred. Conclusion: Observed structural failure rate of 15.9% is lower than those reported in the literature for standard rotator cuff repair of medium to massive tears in similar cohorts to ours. Extracellular matrix augmentation for rotator cuff repair was shown to be a safe and reliable support to the repairs and patients recovered good shoulder function. Level of Evidence: Level IV. Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Both the first name author (PC) and the senior author (AAN) have received research support from Arthrex Inc, Naples, Florida USA, not related to this project. AAN is also an education consultant for Stryker. All the authors, their immediate family and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. (© 2021 The British Elbow & Shoulder Society.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu