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Related Experiment Video

Updated: Mar 19, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
05:25

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

511

[Patch Augmentation in Rotator Cuff Repair Surgery with Elder Patients].

J Leuzinger1, C Sternberg1, D Smolen1

  • 1Abteilung Schulter- und Ellbogenchirurgie, Etzelclinic Pfäffikon, Schweiz.

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|June 22, 2016
PubMed
Summary
This summary is machine-generated.

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Patch augmentation significantly improves outcomes for massive rotator cuff tears, especially in older patients and revision cases. Non- or slowly resorbable patches show superior results compared to degradable options.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Regenerative Medicine

Background:

  • Massive rotator cuff tears have a poor prognosis, particularly in elderly patients and after revision surgery.
  • Current orthopaedic practice utilizes various patches to reinforce sutures for improved long-term shoulder function.
  • Evaluating patch efficacy is crucial for enhancing surgical repair outcomes in complex cases.

Purpose of the Study:

  • To assess the efficacy of three commercial patches in augmenting rotator cuff repairs for massive tears.
  • To compare the outcomes of non-resorbable, slowly resorbable, and degradable patches.
  • To determine the impact of patch augmentation on patient recovery and shoulder function.

Main Methods:

  • A clinical study involving 89 patients (mean age >60) undergoing arthroscopic rotator cuff repair for massive tears (2-3 tendons) between 2005-2011.

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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Last Updated: Mar 19, 2026

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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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  • Implantation of three patch types: Graft Jacket (human tissue scaffold), Artelon (polyurethane-urea), and Restore (orthobiologic graft).
  • Evaluation of repair integrity, patient recovery (CS values), and subjective shoulder value (SSV) at 6 months and 3 years post-surgery.

    • Main Results:

    • Overall repair integrity was 75% in primary and 65% in revision surgeries.
    • Non- or slowly resorbable patches demonstrated better outcomes than degradable materials, especially in primary repairs.
    • Significant improvements in patient recovery (CS) and subjective shoulder value (SSV) were observed across all patch types, with Graft Jacket and Artelon showing higher scores.

    Conclusions:

    • Patch augmentation is beneficial for tendons with reduced mechanical properties, particularly in older patients and revision surgeries.
    • Graft Jacket achieved up to 87% success in primary repairs, while Restore showed a minimum of 58.3% in revision cases.
    • The findings support the continued development of advanced biomaterials for rotator cuff repair to further improve mechanical properties and clinical outcomes.