title: Mini-open suture bridge repair with porcine dermal patch augmentation for massive rotator cuff tear: surgical technique and preliminary results.
abstract: BACKGROUND
  The aim of this study was to describe the mini-open suture bridge technique with porcine dermal patch augmentation for massive rotator cuff tear and to assess preliminary clinical and radiological results.
  
  
  METHODS
  Five patients with massive rotator cuff tear for which it was not possible to restore the anatomical footprint underwent mini-open suture bridge repair using a porcine dermal patch. The patients' average age was 53.4 years (range, 45 to 57 years), and the average duration of follow-up was 20.6 months (range, 14 to 26 months). Patients were evaluated with preoperative and postoperative outcome measures, including a visual analog scale (VAS) for pain, the University of California Los Angeles (UCLA) score, and the American Shoulder and Elbow Surgeons (ASES) score. The structural integrity of repaired rotator cuffs was assessed by magnetic resonance imaging 6 months postoperatively.
  
  
  RESULTS
  The average VAS pain score, UCLA score, and ASES score improved from 6.8, 15.4, and 39.4 preoperatively to 0.8, 31.2, and 86.4 postoperatively (p = 0.041, 0.042, and 0.043, respectively). Magnetic resonance images obtained at an average of 8 months after surgery showed that four patients had intact repair integrity with graft incorporation. One patient had a re-tear with partial healing but still had a satisfactory clinical outcome. There was no intraoperative or postoperative complication in any patient.
  
  
  CONCLUSIONS
  Mini-open suture bridge repair with porcine dermal patch augmentation can be an option in young patients with high physical demands and massive rotator cuff tears for which it is not possible to restore the anatomical footprint.
authors.affiliation: Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Chul-Hyun
authors.initials: CH
authors.lastname: Cho
authors.affiliation: Department of Radiology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Sung-Moon
authors.initials: SM
authors.lastname: Lee
authors.affiliation: Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea.
authors.forename: Young-Kuk
authors.initials: YK
authors.lastname: Lee
authors.affiliation: Department of Orthopedic Surgery, Hanmi Hospital, Daegu, Korea.
authors.forename: Hong-Kwan
authors.initials: HK
authors.lastname: Shin
mesh_terms: D001672:Biocompatible Materials; D003094:Collagen; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D017006:Rotator Cuff / Q000473:pathology / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D013536:Suture Techniques; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen
keywords: Massive tear; Mini-open; Porcine dermal patch; Rotator cuff; Suture bridge techniquetear