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Human dermal allograft may offer positive outcomes in rotator cuff repair
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In treating massive rotator cuff tears, human dermal allografts were shown to provide patients with positive postoperative outcomes, according to study findings.
Investigators retrospectively studied 21 patients (mean age: 58 years) who underwent a human dermal allograft via mini-open approach to repair massive rotator cuff tears between January 2005 and October 2011.
Measurements of the tendon gap and acromiohumeral interval were taken, and pain, American Shoulder and Elbow Surgeons values for shoulder, range of motion, complications and patient-reported satisfaction with outcomes and surgery were recorded. Mean follow-up was 29 months.
Overall, 18 patients reported satisfactory or better outcomes. A significant link was observed between tendon gap size and postoperative pain, ASES values and range of motion (excluding external rotation), according to the researchers.
The researchers did not observe any significant differences between patients who underwent primary (11 patients) or revision (10 patients) rotator cuff repair. Similarly, no significant differences were observed between patients with grades 0 to II and those with grades III to IV for muscle atrophy and fatty infiltration. No complications were observed in this study, and all patients were found to have significantly less pain and improved range of motion and ASES values, according to the researchers.
Disclosure: The authors have no relevant financial disclosures.
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