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Full-Thickness Massive Rotator Cuff Repair With a Dermal Allograft Using CuffMend Augmentation Technique.

Suhas P Dasari1, Luc M Fortier1, Blake M Bodendorfer1

  • 1Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
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CuffMend offers a user-friendly approach to rotator cuff repair using graft augmentation for large tears. This technique improves clinical outcomes and simplifies graft placement for better healing.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Rotator cuff tears, especially large-to-massive ones, often require graft augmentation for improved outcomes.
  • Traditional graft augmentation can be technically demanding, posing challenges in graft deployment and positioning.
  • CuffMend presents a novel, user-friendly technique for rotator cuff augmentation.

Purpose of the Study:

  • To introduce and evaluate CuffMend, a new graft augmentation technique for rotator cuff tears.
  • To demonstrate the efficacy of CuffMend in simplifying graft implantation and improving clinical results.
  • To highlight the benefits of CuffMend for patients with high-risk rotator cuff tears.

Main Methods:

  • CuffMend utilizes a decellularized dermal allograft combined with a specialized graft deployment device.
Keywords:
ArthroFLEXCuffMenddermal allograftgraft augmentationirreparable rotator cuff tear

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  • The technique incorporates a novel tendon anchor and knotless, tension-able anchors for secure graft fixation.
  • Sutures are passed in a mattress configuration to secure the rotator cuff, followed by graft placement using a spreader.

    • Main Results:

    • The described patient case shows expected recovery with physical therapy initiated at 1 month postoperatively.
    • The patient achieved pain-free light activities of daily living and overhead reach.
    • Strengthening exercises are planned to commence at 12 weeks postoperatively.

    Conclusions:

    • CuffMend provides a reliable and stable method for rotator cuff graft implantation.
    • The technique's novel deployment device ensures consistent and precise graft placement.
    • CuffMend facilitates expedited rotator cuff repair, potentially leading to optimal clinical and biomechanical outcomes in high-risk patients.