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LactoSorb plates for rotator cuff repair.

Kevin J Kessler1, Amy E Bullens-Borrow, Jesse Zisholtz

  • 1Imperial Point Medical Center, Fort Lauderdale, Florida, USA.

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LactoSorb bioabsorbable plates effectively prevent hole migration in rotator cuff repairs, leading to excellent outcomes. This study shows no adverse effects, supporting their use in rotator cuff tear treatment.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Rotator cuff tears are common injuries requiring surgical repair.
  • Trough-tunnel techniques are used for rotator cuff repair, but hole migration can be a complication.
  • Bioabsorbable fixation devices are being explored to improve surgical outcomes.

Purpose of the Study:

  • To evaluate the preliminary clinical outcomes of using LactoSorb plates in human rotator cuff repair.
  • To assess the efficacy of LactoSorb plates in preventing hole migration during trough-tunnel repairs.
  • To determine the safety and inflammatory response associated with LactoSorb plate use.

Main Methods:

  • Fifty patients with rotator cuff tears underwent arthroscopic subacromial decompression and mini-open repair using a trough and tunnel technique with LactoSorb plates.
  • Horizontal mattress sutures were employed for the rotator cuff repair.
  • Forty-five patients were followed postoperatively for at least 1 year, with evaluations at multiple time points.

Main Results:

  • 89% excellent, 9% good, and 2% fair results were reported, with no poor outcomes.
  • No significant local inflammatory signs (swelling, tenderness, erythema) or infections were observed.
  • Radiographs showed no bone erosion, and no revision surgeries were required.

Conclusions:

  • LactoSorb bioabsorbable plates are effective in preventing hole migration in rotator cuff repairs.
  • The plates maintain strength during healing and do not cause significant inflammation.
  • These findings support the use of LactoSorb plates for improved rotator cuff repair outcomes.