title: Synthetic Patch Rotator Cuff Repair: A 10-year Follow-Up.
abstract: BACKGROUND
  The present study aimed to determine the long-term outcome as a result of the use of synthetic patches as tendon substitutes to bridge massive irreparable rotator cuff defects.
  
  
  METHODS
  All patients who previously had a rotator cuff repair with a synthetic patch (2-mm Gore DUALMESH ePTFE patch; Gore, Flagstaff, AZ, USA; or a 2.87-mm Bard PTFE Felt pledgets; CR Bard, Warwick, RI, USA) were followed-up at a minimum of 8.5 years postoperatively. Assessment of shoulder pain, function, range of motion, strength and imaging was performed.
  
  
  RESULTS
  Six patients had an interpositional repair with a synthetic patch. One patient had died. In the remaining five patients, the mean tear size at repair was 27 cm(2). At 9.7 years postoperatively, all the patches remained in situ and no patient required further surgery. The repair was intact in four out of five patients. Patients had improved external rotation and abduction compared to before surgery (p < 0.02).
  
  
  CONCLUSIONS
  We describe the long-term outcomes of patients who had undergone synthetic patch rotator cuff repair for an irreparable rotator cuff tear. At 9.7 years postoperatively, patients reported less severe and more infrequent pain, as well as greater overall shoulder function, compared to before surgery. Patients also had increased passive external rotation and abduction. All the patches remain in situ and there have been no further operations on these shoulders.
authors: Department of Orthopaedic Surgery, Orthopaedic Research Institute, St George Hospital Campus, Univetsity of New South Wales, Sydney, NSW, Australia.
authors: Henry M
authors: HM
authors: Shepherd
authors: Department of Orthopaedic Surgery, Orthopaedic Research Institute, St George Hospital Campus, Univetsity of New South Wales, Sydney, NSW, Australia.
authors: Patrick H
authors: PH
authors: Lam
authors: Department of Orthopaedic Surgery, Orthopaedic Research Institute, St George Hospital Campus, Univetsity of New South Wales, Sydney, NSW, Australia.
authors: George A C
authors: GA
authors: Murrell
keywords: Shoulder; graft; rotator cuff; rotator cuff repair; synthetic patch