RESEARCH ARTICLE


Patch-Augmented Rotator Cuff Repair and Superior Capsule Reconstruction



M. Petri1, 2, *, J.A. Greenspoon1, S.G. Moulton1, P.J. Millett1, 2
1 Steadman Philippon Research Institute 181 West Meadow Drive suite 1000 Vail, CO, 81657, USA
2 The Steadman Clinic 181 West Meadow Drive Vail, CO, 81657, USA


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© Petri et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Steadman Philippon Research Institute 181 West Meadow Drive, Suite 1000 Vail, CO, 81657, USA; E-mail: drmillett@thesteadmanclinic.com


Abstract

Background:

Massive rotator cuff tears in active patients with minimal glenohumeral arthritis remain a particular challenge for the treating surgeon.

Methods:

A selective literature search was performed and personal surgical experiences are reported.

Results:

For patients with irreparable rotator cuff tears, a reverse shoulder arthroplasty or a tendon transfer are often performed. However, both procedures have rather high complication rates and debatable long-term results, particularly in younger patients. Therefore, patch-augmented rotator cuff repair or superior capsule reconstruction (SCR) have been recently developed as arthroscopically applicable treatment options, with promising biomechanical and early clinical results.

Conclusion:

For younger patients with irreparable rotator cuff tears wishing to avoid tendon transfers or reverse total shoulder arthroplasty, both patch-augmentation and SCR represent treatment options that may delay the need for more invasive surgery.

Keywords: Joint-preserving surgery, massive rotator cuff tear, patch-augmentation, rotator cuff repair, rotator cuff tear, superior capsule reconstruction.