title: Biologics in rotator cuff surgery.
abstract: Pathologies of the rotator cuff are by far the most common cause of shoulder dysfunction and pain. Even though reconstruction of the rotator cuff results in improved clinical outcome scores, including decreased pain, several studies report high failure rates. Orthopaedic research has therefore focused on biologically augmenting the rotator cuff reconstruction and improving tendon-bone healing of the rotator cuff. This biological augmentation has included the application of different platelet concentrates containing growth factors, mesenchymal stem cells, scaffolds and a combination of the above. The present review provides an overview over the biological augmentation options based upon current evidence.
authors: Shoulder, Elbow & Oprthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern, Switzerland; Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
authors: Michael O
authors: MO
authors: Schär
authors: Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
authors: Scott A
authors: SA
authors: Rodeo
authors: Shoulder, Elbow & Oprthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern, Switzerland.
authors: Matthias A
authors: MA
authors: Zumstein
keywords: Biological augmentation; growth factors; rotator cuff healing; scaffold; shoulder surgery; stem cells; tendon-bone healing