Clinical Outcomes following Biologically Enhanced Demineralized Bone Matrix Augmentation of Complex Rotator Cuff Repair

被引:3
|
作者
Wellington, Ian J. [1 ]
Muench, Lukas N. [2 ]
Hawthorne, Benjamin C. [1 ]
Uyeki, Colin L. [3 ]
Antonacci, Christopher L. [1 ]
McCarthy, Mary Beth [1 ]
Connors, John P. [1 ]
Kia, Cameron [1 ]
Mazzocca, Augustus D. [4 ]
Berthold, Daniel P. [2 ]
机构
[1] Univ Connecticut, Dept Orthoped Surg, Hlth Ctr, Farmington, CT 06032 USA
[2] Tech Univ Munich, Dept Orthoped Surg, D-80333 Munich, Germany
[3] Quinnipiac Univ, Frank H Netter Sch Med, Hamden, CT 06518 USA
[4] Harvard Med Sch, Massachusetts Gen Hosp, Massachusetts Gen Brigham, Boston, MA 02115 USA
关键词
shoulder; rotator cuff; allografts; demineralized bone matrix; biologics; STEM-CELLS; ARTHROSCOPIC REPAIR; TENDON; TEARS; CLASSIFICATION; SCAFFOLDS; RUPTURES; FAILURE; MUSCLE;
D O I
10.3390/jcm11112956
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Complex rotator cuff tears provide a significant challenge for treating surgeons, given their high failure rate following repair and the associated morbidity. The purpose of this study is to evaluate the clinical outcomes of patients who underwent biologically enhanced demineralized bone matrix augmentation of rotator cuff repairs. Twenty patients with complex rotator cuff tears underwent arthroscopic rotator cuff repair by a single surgeon with demineralized bone matrix (DBM) augmentation that was biologically enhanced with platelet-rich plasma and concentrated bone marrow aspirate. Post-operative MRI was used to determine surgical success. Patient reported outcome measures and range of motion data were collected pre-operatively and at the final post-operative visit for each patient. Ten patients (50%) with DBM augmentation of their arthroscopic rotator cuff repair were deemed non-failures. The failure group had less improvement of visual analogue pain scale (p = 0.017), Simple Shoulder Test (p = 0.032), Single Assessment Numerical Evaluation (p = 0.006) and abduction (p = 0.046). There was no difference between the groups for change in American Shoulder and Elbow Society score (p = 0.096), Constant-Murley score (p = 0.086), forward elevation (p = 0.191) or external rotation (p = 0.333). The present study found that 50% of patients who underwent biologically enhanced DBM augmentation of their rotator cuff repair demonstrated MRI-determined failure of supraspinatus healing.
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页数:9
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