Biologically enhanced healing of the rotator cuff.
Failure of rotator cuff repair is a well-documented problem. Successful repair is impeded by muscle atrophy, fat infiltration, devascularization, and scar tissue formation throughout the fibrocartilagenous transition zone. This case study exemplifies a technique to biologically augment rotator cuff healing. Clinically, pain and function improved. Postoperative magnetic resonance imaging evaluation confirmed construct integrity. Biological enhancement of the healing process and physiologically based alterations in rehabilitation protocols can successfully treat complicated rotator cuff tears. Prospective studies with larger sample sizes and continued follow-up are necessary to assess the definitive efficacy of this treatment modality.
Department of Clinical Education and Research, Coordinated Health, 2775 Schoenersville Rd, Bethlehem, PA 18017, USA. ngordon@coordinatedhealth.com
Nicole M
NM
Gordon
Scott
S
Maxson
James K
JK
Hoffman
D001688:Biological Products / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D045164:Mesenchymal Stem Cell Transplantation; D008875:Middle Aged; D053657:Platelet-Rich Plasma; D020127:Recovery of Function; D000070636:Rotator Cuff Injuries; D016038:Skin Transplantation; D013708:Tendon Injuries / Q000628:therapy*; D016896:Treatment Outcome; D014945:Wound Healing
D001688:Biological Products