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Biological Augmentation in Rotator Cuff Repair: Scaffolds

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Massive and Irreparable Rotator Cuff Tears

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Abstract

Rotator cuff (RC) tears are a considerable reason of shoulder disability in both the young and elderly population. Although instrumentation methods and surgical techniques have been improving, the failure rates remain still high after tendon repairs attributed to large tear size, increased age, poor tendon quality and fatty infiltration of the RC muscle.

To enhance the healing potential of RC and improve outcomes after repair, various augmentation methods have been introduced over the past two decades. Growth factors, stem cell therapies and scaffolds are the main augmentation approaches. The aim of these procedures is to enhance the healing potential of the repair construct and, simultaneously, help the restoration of the native tendon-to-bone interface.

This chapter will focus on scaffold devices and their role in the augmentation of RC repair. The biomechanical properties of the scaffolds, their efficacy, outcomes and complications based on both preclinical and clinical studies are discussed. An overview of the future trends in scaffold augmentation for RC surgery is presented in light of the current literature.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Health Science University, İzmir, Turkey

    Emre Bilgin

  2. Faculty of Medicine, Department of Orthopaedics and Traumatology, Bezmialem Vakif University, İstanbul, Turkey

    Mehmet Kapicioglu & Kerem Bilsel

  3. Ortopedi ve Travmatoloji Anabilim Dali, Bezmialem Vakif Universitesi Hastanesi, Istanbul, Turkey

    Kerem Bilsel

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  1. Emre Bilgin
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  2. Mehmet Kapicioglu
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  3. Kerem Bilsel
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Editors and Affiliations

  1. Hospital das Forças Armadas and Hospital da Luz, Porto, Portugal

    Nuno Sampaio Gomes

  2. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

  3. ATOS Klinik München, Deutsches Schulterzentrum, München, Bayern, Germany

    Frank Martetschläger

  4. Department of Orthopaedics, University of Brescia, Brescia, Italy

    Giuseppe Milano

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Bilgin, E., Kapicioglu, M., Bilsel, K. (2020). Biological Augmentation in Rotator Cuff Repair: Scaffolds. In: Sampaio Gomes, N., Kovačič, L., Martetschläger, F., Milano, G. (eds) Massive and Irreparable Rotator Cuff Tears. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61162-3_7

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  • DOI: https://doi.org/10.1007/978-3-662-61162-3_7

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