Editorial Commentary: High Reported Mid-term Healing of Folded Superior Capsular Reconstruction Xenografts Calls for...

Decision making in treating chronic irreparable rotator cuff tears is complex given the large and diverse number of treatment options for these conditions. Lack of knowledge about structural healing and clinical outcomes of reconstructive operations such as superior capsular reconstruction hinders rational decision making. Mid-term case series showing sustained clinical outcomes and graft survival for superior capsular reconstruction point to a future in which soft-tissue reconstructions can be offered with confidence in their effectiveness. However, higher-level comparative studies are warranted to determine the incremental benefit of complex soft-tissue reconstructions versus lower-resource-intensive operations.