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Failed Rotator Cuff Repair: Case Example 2

  • Maristella F. Saccomanno
  • Giuseppe Milano
Chapter

Abstract

Management of failed rotator cuff tear remains a challenge. Although numerous techniques are available for revision rotator cuff repair, a clear diagnostic and treatment algorithm has not been established yet. This case study describes a middle-aged active woman with a recurrent rotator cuff tear after two previous surgeries. Understanding the biology of the rotator cuff is of utmost importance when planning a revision surgery. The patient underwent a successful arthroscopic re-revision by performing a biologic augmentation.

Keywords

Rotator cuff healing Biodegradable anchor Extracellular matrix Growth factors Autologous conditioned plasma 

References

  1. 1.
    Gurnani N, van Deurzen DFP, van den Bekerom MPJ. Shoulder-specific outcomes 1 year after nontraumatic full-thickness rotator cuff repair: a systematic literature review and meta-analysis. Shoulder Elbow. 2017;9:247–57.  https://doi.org/10.1177/1758573217711903.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Saccomanno MF, Sircana G, Cazzato G, et al. Prognostic factors influencing the outcome of rotator cuff repair: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016;24:3809–19.  https://doi.org/10.1007/s00167-015-3700-y.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Elhassan BT, Cox RM, Shukla DR, et al. Management of failed rotator cuff repair in young patients. J Am Acad Orthop Surg. 2017;25:e261–71.  https://doi.org/10.5435/JAAOS-D-17-00086.CrossRefGoogle Scholar
  4. 4.
    Saltzman BM, Zuke WA, Go B, et al. Does early motion lead to a higher failure rate or better outcomes after arthroscopic rotator cuff repair? A systematic review of overlapping meta-analyses. J Shoulder Elbow Surg. 2017;26:1681–91.  https://doi.org/10.1016/j.jse.2017.04.004.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Gillespie RJ, Knapik DM, Akkus O. Biologic and synthetic grafts in the reconstruction of large to massive rotator cuff tears. J Am Acad Orthop Surg. 2016;24:823–8.  https://doi.org/10.5435/JAAOS-D-15-00229.CrossRefPubMedGoogle Scholar
  6. 6.
    Steinhaus ME, Makhni EC, Cole BJ, et al. Outcomes after patch use in rotator cuff repair. Arthroscopy. 2016;32:1676–90.  https://doi.org/10.1016/j.arthro.2016.02.009.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Flury M. Patch augmentation of the rotator cuff. A reasonable choice or a waste of money? Orthopade. 2016;45:136–42.  https://doi.org/10.1007/s00132-015-3211-z.CrossRefPubMedGoogle Scholar
  8. 8.
    Goutallier D, Postel JM, Bernageau J, et al. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop. 1994;304:78–83.Google Scholar
  9. 9.
    Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy. 2005;21:1307–16.  https://doi.org/10.1016/j.arthro.2005.08.011.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Galatz LM, Ball CM, Teefey SA, et al. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86A:219–24.CrossRefGoogle Scholar
  11. 11.
    Park AY, Hatch JD. Proximal humerus osteolysis after revision rotator cuff repair with bioabsorbable suture anchors. Am J Orthop (Belle Mead NJ). 2011;40:139–41.Google Scholar
  12. 12.
    Kim SH, Kim DY, Kwon JE, et al. Perianchor cyst formation around biocomposite biodegradable suture anchors after rotator cuff repair. Am J Sports Med. 2015;43:2907–12.  https://doi.org/10.1177/0363546515608484.CrossRefPubMedGoogle Scholar
  13. 13.
    Cobaleda Aristizabal AF, Sanders EJ, Barber FA. Adverse events associated with biodegradable lactide-containing suture anchors. Arthroscopy. 2014;30:555–60.  https://doi.org/10.1016/j.arthro.2014.02.011.CrossRefPubMedGoogle Scholar
  14. 14.
    Park J-Y, Jang S-H, Oh K-S, Li YJ. Radiolucent rings around bioabsorbable anchors after rotator cuff repair are not associated with clinical outcomes. Arch Orthop Trauma Surg. 2017;137:1539–46.  https://doi.org/10.1007/s00402-017-2772-1.CrossRefPubMedGoogle Scholar
  15. 15.
    Pilge H, Spang J, Rose T, et al. Osteolysis after rotator cuff repair with bioabsorbable anchors. Arch Orthop Trauma Surg. 2012;132:305–10.  https://doi.org/10.1007/s00402-011-1369-3.CrossRefPubMedGoogle Scholar
  16. 16.
    Anastasopoulos PP, Alexiadis G, Spyridonos S, Fandridis E. Latissimus Dorsi transfer in posterior irreparable rotator cuff tears. Open Orthop J. 2017;11:77–94.  https://doi.org/10.2174/1874325001711010077.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Xu H, Sandor M, Qi S, et al. Implantation of a porcine acellular dermal graft in a primate model of rotator cuff repair. \J Shoulder Elbow Surg. 2012;21:580–8.  https://doi.org/10.1016/j.jse.2011.03.014.CrossRefPubMedGoogle Scholar
  18. 18.
    Smith RDJ, Zargar N, Brown CP, et al. Characterizing the macro and micro mechanical properties of scaffolds for rotator cuff repair. J Shoulder Elbow Surg. 2017;26:2038–46.  https://doi.org/10.1016/j.jse.2017.06.035.CrossRefPubMedGoogle Scholar
  19. 19.
    Smith RD, Carr A, Dakin SG, et al. The response of tenocytes to commercial scaffolds used for rotator cuff repair. Eur Cell Mater. 2016;31:107–18.CrossRefGoogle Scholar
  20. 20.
    Chung SW, Song BW, Kim YH, et al. Effect of platelet-rich plasma and porcine dermal collagen graft augmentation for rotator cuff healing in a rabbit model. Am J Sports Med. 2013;41:2909–18.  https://doi.org/10.1177/0363546513503810.CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  • Maristella F. Saccomanno
    • 1
  • Giuseppe Milano
    • 1
  1. 1.Department of OrthopaedicsCatholic University, Shoulder Service, A. Gemelli University HospitalRomeItaly

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