title: Factors affecting rotator cuff healing.
abstract: Several studies have noted that increasing age is a significant factor for diminished rotator cuff healing, while biomechanical studies have suggested the reason for this may be an inferior healing environment in older patients. Larger tears and fatty infiltration or atrophy negatively affect rotator cuff healing. Arthroscopic rotator cuff repair, double-row repairs, performing a concomitant acromioplasty, and the use of platelet-rich plasma (PRP) do not demonstrate an improvement in structural healing over mini-open rotator cuff repairs, single-row repairs, not performing an acromioplasty, or not using PRP. There is conflicting evidence to support postoperative rehabilitation protocols using early motion over immobilization following rotator cuff repair.
authors.affiliation: Regeneration Orthopedics, 6 McBride and Son Center Drive, Suite 204, St. Louis, MO 63005. E-mail address for N.A. Mall: nathanmall@yahoo.com. E-mail address for L.S. Choi: lukeschoi@gmail.com. E-mail address for G.A. Paletta Jr.: gpaletta@toc-stl.com.
authors.forename: Nathan A
authors.initials: NA
authors.lastname: Mall
authors.affiliation: Regeneration Orthopedics, 6 McBride and Son Center Drive, Suite 204, St. Louis, MO 63005. E-mail address for N.A. Mall: nathanmall@yahoo.com. E-mail address for L.S. Choi: lukeschoi@gmail.com. E-mail address for G.A. Paletta Jr.: gpaletta@toc-stl.com.
authors.forename: Miho J
authors.initials: MJ
authors.lastname: Tanaka
authors.affiliation: Regeneration Orthopedics, 6 McBride and Son Center Drive, Suite 204, St. Louis, MO 63005. E-mail address for N.A. Mall: nathanmall@yahoo.com. E-mail address for L.S. Choi: lukeschoi@gmail.com. E-mail address for G.A. Paletta Jr.: gpaletta@toc-stl.com.
authors.forename: Luke S
authors.initials: LS
authors.lastname: Choi
authors.affiliation: Regeneration Orthopedics, 6 McBride and Son Center Drive, Suite 204, St. Louis, MO 63005. E-mail address for N.A. Mall: nathanmall@yahoo.com. E-mail address for L.S. Choi: lukeschoi@gmail.com. E-mail address for G.A. Paletta Jr.: gpaletta@toc-stl.com.
authors.forename: George A
authors.initials: GA
authors.lastname: Paletta
mesh_terms: D000367:Age Factors; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects; D001182:Arthroscopy / Q000379:methods; D048909:Diabetes Complications / Q000150:complications; D006801:Humans; D010024:Osteoporosis / Q000209:etiology; D053657:Platelet-Rich Plasma / Q000502:physiology; D011182:Postoperative Care / Q000379:methods; D017006:Rotator Cuff / Q000502:physiology* / Q000601:surgery; D012421:Rupture / Q000503:physiopathology; D012907:Smoking / Q000009:adverse effects; D013536:Suture Techniques; D013537:Sutures; D013710:Tendons / Q000502:physiology; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal