Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 11

All-Inside Bioinductive Collagen Implant Augmentation for the Repair of Myotendinous Rotator Cuff Tears: Surgical Technique and Report of Preliminary Results

Oleksiy Yatseta Yatseta and Pedro Vicente Fuentes Escobar

Department of Orthopedic Service, UMIVALE Activa, Spain

*Corresponding Author: Oleksiy Yatseta Yatseta, Department of Orthopedic Service, UMIVALE Activa, Spain.

Received: July 11, 2022; Published: October 14, 2022

Abstract

Purpose: The purpose of this study is to assess the short-term results and describe tips to prevent complications during the implant.

Methods: Between April 2021 and April 2022, 6 patients with myotendinous junction (MTJ) rotator cuff tears were treated with arthroscopic placement of Bio-inductive Collagen Implant by a single surgeon. Patients were followed up to 6 months. All were evaluated preoperatively and postoperatively by use of Visual Analogic Scale (VAS), Constant shoulder score and American Shoulder and Elbow Surgeons (ASES) Score.

Results: At a mean follow-up of 6 months. All the patients were satisfied with the procedure. Although we do not have enough patients to make statistical difference, there was an improvement in the constant shoulder score, VAS and ASES scores, also there is an improved articular range in forward flexion, internal rotation, and external rotation. All the patients had full incorporation of the graft into the native tissue as documented in postoperative resonance imaging.

Conclusion: Our study supports Bio-inductive Collagen Implant as a viable solution for surgical salvage in select cases of MTJ rotator cuff pathology. This treatment option may provide patients with decreased pain and increased function as an associated gesture on arthroscopic repair of MTJ rotator cuff tears.

Level of Evidence: Level IV, therapeutic case series.

Keywords: Shoulder; Myotendinous Junction Tears; Rotator Cuff; Regeneten; Bio-Inductive Collagen Implant; Shoulder Arthroscopy

References

  1. Palmer E and Kuong SJ. “Of Myotendinous ! S”. Blood (1999): 703-709.
  2. Millett PJ., et al. “Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction”. Arthroscopy Techniques 4 (2017): e1075-1085.
  3. Mall NA., et al. “Factors affecting rotator cuff healing”. The Journal of Bone and Joint Surgery 9 (2014): 778-788.
  4. Chalmers PN., et al. “Factors Affecting Cost, Outcomes, and Tendon Healing After Arthroscopic Rotator Cuff Repair”. Arthroscopy: The Journal of Arthroscopic and Related Surgery5 (2018): 1393-400.
  5. Lunn JV., et al. “A novel lesion of the infraspinatus characterized by musculotendinous disruption, edema, and late fatty infiltration”. Journal of Shoulder and Elbow Surgery4 (2008): 546-553.
  6. Hall T., et al. “A case series of recurrent myotendinous rotator cuff tears repaired and augmented with dermal allograft: clinical outcomes at two years”. Journal of Shoulder and Elbow Surgery11 (2020): 2264-2271.
  7. Tavernier T., et al. “Lésion isolée de l’infra-épineux à la jonction myotendineuse : une nouvelle lésion”. Journal of Radiology 12 (2006): 1875-1882.
  8. Baker AR., et al. “Does augmentation with a reinforced fascia patch improve rotator cuff repair outcomes? Shoulder”. Clinical Orthopaedics and Related Research9 (2012): 2513-2521.
  9. Bond JL., et al. “Arthroscopic Replacement of Massive, Irreparable Rotator Cuff Tears Using a GraftJacket Allograft: Technique and Preliminary Results”. Arthroscopy: The Journal of Arthroscopic and Related Surgery4 (2008): 403.e1-403.e8.
  10. Encalada-Diaz I., et al. “Rotator cuff repair augmentation using a novel polycarbonate polyurethane patch: Preliminary results at 12 months’ follow-up”. Journal of Shoulder and Elbow Surgery5 (2011): 788-794.
  11. Liem D., et al. “Magnetic resonance imaging of arthroscopic supraspinatus tendon repair”. The Journal of Bone and Joint Surgery8 (2007): 1770-1776.
  12. Oh JH., et al. “Prognostic Factors Affecting Anatomic Outcome of Rotator Cuff Repair and Correlation With Functional Outcome”. Arthroscopy: The Journal of Arthroscopic and Related Surgery1 (2009): 30-39.
  13. Tashjian RZ., et al. “Influence of Preoperative Musculotendinous Junction Position on Rotator Cuff Healing After Double-Row Repair”. Arthroscopy: The Journal of Arthroscopic and Related Surgery 6 (2017): 1159-1166.
  14. Pupa L., et al. “Tips and Tricks for Augmenting Rotator Cuff Repair With a Bio-inductive Collagen Implant”. Arthroscopy Techniques 12 (2021): e2659-2665.
  15. Arnoczky SP., et al. “Histologic Evaluation of Biopsy Specimens Obtained After Rotator Cuff Repair Augmented With a Highly Porous Collagen Implant”. Arthroscopy: The Journal of Arthroscopic and Related Surgery2 (2017): 278-283.
  16. G AM., et al. “Isolated infraspinatus musculotendinous junction tear treated with open repair and dermal allograft augmentation : a case report with 5-year outcome”. Journal of Surgical Case Reports (2022): 1-4.
  17. Michener LA., et al. “American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: Reliability, validity, and responsiveness”. Journal of Shoulder and Elbow Surgery6 (2002): 587-594.
  18. Constant CR., et al. “A review of the Constant score: Modifications and guidelines for its use”. Journal of Shoulder and Elbow Surgery2 (2008): 355-361.
  19. Wylie JD., et al. “A Comprehensive Evaluation of Factors Affecting Healing, Range of Motion, Strength, and Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair”. Orthopaedic Journal of Sports Medicine 1 (2018): 1-7.
  20. Gasbarro G., et al. “Morphologic Risk Factors in Predicting Symptomatic Structural Failure of Arthroscopic Rotator Cuff Repairs: Tear Size, Location, and Atrophy Matter”. Arthroscopy: The Journal of Arthroscopic and Related Surgery10 (2016): 1947-1952.
  21. Schlegel TF., et al. “Radiologic and clinical evaluation of a bioabsorbable collagen implant to treat partial-thickness tears: a prospective multicenter study”. Journal of Shoulder and Elbow Surgery 2 (2018): 242-251.
  22. Narayanan G., et al. “Regenerative Engineering of the Rotator Cuff of the Shoulder”. ACS Biomaterials Science and Engineering 3 (2018): 751-786.
  23. Camacho-Chacon JA., et al. “Bioinductive collagen implants facilitate tendon regeneration in rotator cuff tears”. Journal of Experimental Orthopaedics 1 (2022).
  24. Bokor DJ., et al. “Healing of partial-thickness rotator cuff tears following arthroscopic augmentation with a highly-porous collagen implant: A 5-year clinical and mri follow-up”. Muscle, Ligaments and Tendons Journal 3 (2019): 338-347.
  25. Thon SG., et al. “Evaluation of Healing Rates and Safety With a Bioinductive Collagen Patch for Large and Massive Rotator Cuff Tears: 2-Year Safety and Clinical Outcomes”. The American Journal of Sports Medicine8 (2019): 1901-1908.
  26.  

Citation

Citation: Oleksiy Yatseta Yatseta and Pedro Vicente Fuentes Escobar. “All-Inside Bioinductive Collagen Implant Augmentation for the Repair of Myotendinous Rotator Cuff Tears: Surgical Technique and Report of Preliminary Results". Acta Scientific Orthopaedics 5.11 (2022): 96-101.

Copyright

Copyright: © 2022 Oleksiy Yatseta Yatseta and Pedro Vicente Fuentes Escobar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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