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October 10, 2023
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VIDEO: Romeo discusses emerging biological healing pathways for rotator cuff repair

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Key takeaways:

  • Surgeons should understand the biology of healing to augment rotator cuff repair surgery.
  • Surgeons should weigh treatment options with the patient through shared decision-making.

SCOTTSDALE, Ariz. — In this video from the American Shoulder and Elbow Surgeons Annual Meeting, Anthony A. Romeo, MD, discussed several techniques to augment healing after index and revision rotator cuff repair.

“We have the ability to add cells. We have the ability to add proteins. We have augments made out of collagen – reinforced collagen – from both animal models, as well as human [models],” he said. “We even have some newer ideas with regard to scaffolds that can go between the tendon and the bone, which may play a role in improving our chances to heal the rotator cuff,” Romeo said.

“The indications are critical. Once you decide that this is right thing to do, you have to share that knowledge and information with the patient. So, this is a shared decision-making process,” Romeo added. “In the end, when you’ve done everything you can to repair that and you augment it, and if it fails again, we fortunately now have the technology of a reverse shoulder arthroplasty to help salvage these cases,” he said.