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Natural Extracellular Matrix Grafts for Rotator Cuff Repair

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Arthroscopic Rotator Cuff Surgery

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Abstract

The results of open or arthroscopic repair of the rotator cuff vary widely in the literature.1–15 The factors that have been shown to affect outcome relate to the technique of surgery,3,9,16–18 the size of the tear,9–11 the quality of the tissue and age of the patient,10,11,15 the chronicity of the tear,9–11,19,20 the degree of muscle atrophy, and the degree of tendon retraction.9–11,20 In many cases, the size of the tear is correlated with the degree of tendon retraction, muscle atrophy, and loss of tissue quality. Postoperative care influences outcome and is dependent upon the length and type of protection in the first 6 weeks after surgery,9,17,21 as well as the progression of the rehabilitation program from passive range of motion through active motion and resistance exercises. The larger and more chronic the tear, the more likely the patient will benefit from an abduction brace or pillow and a slower progression of the rehabilitation program.

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Authors and Affiliations

  1. Cleveland Clinic, Cleveland, OH, 44195, USA

    Joseph P. Iannotti MD, PhD (Madden Professor and Chairman), Michael J. DeFranco MD, Michael J. Codsi MD (Staff Surgeon) & Steven D. Maschke MD

  2. Biomedical Engineering, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, 44195, USA

    Kathleen A. Derwin PhD (Assistant Staff Scientist)

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  1. Joseph P. Iannotti MD, PhD
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  2. Michael J. DeFranco MD
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  3. Michael J. Codsi MD
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  4. Steven D. Maschke MD
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  5. Kathleen A. Derwin PhD
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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Seton Hall University School of Graduate Medical Education, Orange, NJ

    Jeffrey S. Abrams MD (Clinical Associate Professor, Associate Director) (Clinical Associate Professor, Associate Director)

  2. Princeton Orthopaedic and Rehabilitation Associates, Princeton, NJ, 08540, USA

    Jeffrey S. Abrams MD (Clinical Associate Professor, Associate Director) (Clinical Associate Professor, Associate Director)

  3. School of Medicine, Northeastern Ohio Universities, Rootstown, OH

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

  4. Department of Orthopaedics, Summa Health System, Akron, OH

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

  5. Crystal Clinic, Inc., Akron, OH, 44333, USA

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

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Iannotti, J.P., DeFranco, M.J., Codsi, M.J., Maschke, S.D., Derwin, K.A. (2008). Natural Extracellular Matrix Grafts for Rotator Cuff Repair. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_18

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  • DOI: https://doi.org/10.1007/978-0-387-39343-8_18

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