Skip to main content
SpringerLink
Log in

Failed Rotator Cuff Repair: Case Example 2

  • Chapter
  • First Online:
Management of Failed Shoulder Surgery

  • 744 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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. 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.

    Article  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  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. 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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Catholic University, Shoulder Service, A. Gemelli University Hospital, Rome, Italy

    Maristella F. Saccomanno & Giuseppe Milano

Authors
  1. Maristella F. Saccomanno
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Giuseppe Milano
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Catholic University, Rome, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, Casa di Cura Villa Valeria, Rome, Italy

    Andrea Grasso

  3. Clínica del Pilar , Zaragoza, Spain

    Angel Calvo

  4. Orthopaedic/Upper Limb, St. Luke’s Hospital, Bielsko-Biała, Poland

    Roman Brzóska

Rights and permissions

Reprints and permissions

Copyright information

© 2018 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Saccomanno, M.F., Milano, G. (2018). Failed Rotator Cuff Repair: Case Example 2. In: Milano, G., Grasso, A., Calvo, A., Brzóska, R. (eds) Management of Failed Shoulder Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56504-9_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-56504-9_32

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56503-2

  • Online ISBN: 978-3-662-56504-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation