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Tendon graft substitutes-rotator cuff patches
1Pacific Sports Medicine at Multicare, Tacoma, WA, USA. cnsdav@yahoo.com
Sports Medicine and Arthroscopy Review
|December 1, 2006
Summary
Biologic patches, including allografts and xenografts made of type I collagen, are increasingly used to repair complex tendon tears. Choosing the right patch involves considering tissue origin, processing, and physical properties for optimal outcomes.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Biologic patches are emerging as a solution for augmenting large or complex tendon tear repairs.
- These patches are predominantly derived from purified type I collagen, sourced from either allografts or xenografts.
Purpose of the Study:
- To introduce the sports medicine community to various available tendon augmentation grafts.
- To highlight key factors influencing the selection of these grafts.
Main Methods:
- Review of commercially available tendon augmentation grafts.
- Discussion of critical graft characteristics for clinical consideration.
Main Results:
- Several tendon augmentation grafts are available, including GraftJacket, CuffPatch, Restore, Zimmer Collagen Repair (Permacol), TissueMend, OrthoADAPT, and BioBlanket.
- Key selection factors include tissue origin, graft processing, cross-linking, clinical history, and physical properties.
Conclusions:
- The selection of an appropriate biologic patch for tendon repair requires careful evaluation of multiple graft-specific and clinical factors.
- Understanding the properties of different grafts is crucial for sports medicine professionals to optimize patient outcomes.