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Related Experiment Video

Updated: May 27, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Rotator Cuff Repair With Bone Marrow Stimulation Versus Rotator Cuff Repair With Patch Augmentation: A Systematic

Joseph J Lim1, Cleveland McCarty1, John W Belk1

  • 1Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA.

Orthopaedic Journal of Sports Medicine
|May 26, 2026
PubMed
Summary
This summary is machine-generated.

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Bone marrow stimulation (BMS) and patch augmentation (PA) offer similar outcomes for rotator cuff repair (RCR). This systematic review found no significant differences in clinical efficacy or retear rates between RCR with PA versus RCR with BMS.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Regenerative Medicine

Background:

  • Rotator cuff repair (RCR) often utilizes adjuncts like bone marrow stimulation (BMS) and patch augmentation (PA) to enhance healing and support the repair.
  • These techniques aim to improve the biological and mechanical properties of the repaired tendon.

Purpose of the Study:

  • To systematically review and compare the clinical efficacy and retear rates of RCR augmented with PA versus RCR augmented with BMS.
  • To synthesize evidence from high-level studies to guide clinical decision-making in rotator cuff repair.

Main Methods:

  • A systematic literature search was performed across PubMed, Cochrane Library, and Embase databases.
  • Included studies were Level 1 or 2 evidence comparing RCR alone with RCR plus BMS or RCR plus PA.
Keywords:
bone marrow stimulationpatchrotator cuff repairshoulder

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Last Updated: May 27, 2026

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  • Outcomes assessed included pain (Visual Analog Scale), functional scores (Constant-Murley, American Shoulder and Elbow scores), and retear rates.

    • Main Results:

    • Twenty studies (Level 1 or 2) involving 351 patients (PA) and 475 patients (BMS) were analyzed.
    • No significant differences were found in patient-reported outcome improvements between the PA and BMS groups.
    • Retear rates were also comparable between patients undergoing RCR with PA and those with BMS.

    Conclusions:

    • Both patch augmentation (PA) and bone marrow stimulation (BMS) lead to similar improvements in patient-reported and functional outcomes following rotator cuff repair (RCR).
    • Further high-quality randomized controlled trials are necessary to directly compare PA and BMS techniques and different types of augmentation materials.