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Use of extracellular matrix augmentation in rotator cuff revision shows no significant improvement
Compared with historical reports without augmentation, augmentation of revision rotator cuff repair with an extracellular matrix augmentation patch through an open approach showed no significant improvement in outcomes, according to study results.
Researchers identified 31 shoulders in 30 patients who underwent open revision rotator cuff repair for symptomatic, full-thickness recurrent rotator cuff tears that were augmented with an extracellular matrix patch.
Results showed 77% of patients completed post-revision surgery outcome questionnaires at a mean of 5.3 years after revision surgery. At a mean of 4.2 years after revision surgery, 67% of patients underwent a physical examination and repeat imaging, among whom the researchers found 63% failed revision rotator cuff repair on imaging. Patients with confirmed intact repairs had significantly better American Shoulder and Elbow Surgeons (ASES) outcome measures vs. patients with confirmed failed revision repair.
According to the researchers, a mean ASES score of 67.2 and a mean Single Assessment Numeric Evaluation score of 66.9 was observed among all patients who completed post-revision surgery. Overall, 24% of patients achieved excellent results, 13% achieved good results, 21% achieved fair results and 42% achieved poor results, according to study results. – by Casey Tingle
Disclosures: Sears reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.