Wednesday, August 15, 2012

Does Augmentation with a Reinforced Fascia Patch Improve Rotator Cuff Repair Outcomes? CORR


Does Augmentation with a Reinforced Fascia Patch Improve Rotator Cuff Repair Outcomes? CORR

In this study funded by the Musculoskeletal Transplant foundation, eleven dogs had partial release and acute repair of the infraspinatus tendon, one shoulder with augmentation with a fascial patch and one without augmentation. Immediately after surgery the ultimate load of augmented repairs was 296 ± 130 N (46% ± 25%) more than nonaugmented repairs. However at three months, the ultimate load of augmented repairs averaged 192 ± 213 N (15% ± 16%) less than nonaugmented repairs.

Somehow the authors made a bit of a long jump to conclude that "these findings support the possibility that reinforced fascia patches would incorporate and provide (at least early) mechanical augmentation to rotator cuff repair in human patients."

As we've pointed out before, partial release and acute repair of the healthy infraspinatus in a dog is not very similar to the repair of a torn rotator cuff in a human, so the value of this musculoskeletal transplant remains to be demonstrated.

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