PATCH AUGMENTATION IN MASSIVE ROTATOR CUFF REPAIR скачать в хорошем качестве

PATCH AUGMENTATION IN MASSIVE ROTATOR CUFF REPAIR

Rotator cuff augmentation with patch is used to enhance healing, reinforce weak tissue, and reduce re-tear rates in large or massive rotator cuff tears. Here are the different technologies and patch types used for augmentation: 1. Extracellular Matrix (ECM)-Based Patches Derived from animal tissues, processed to remove cellular components. ArthroFlex (LifeNet Health): Human dermal allograft; used as an onlay or bridging graft. GraftJacket (Wright Medical / Arthrex): Human dermis, used for reinforcement and scaffold. Can be used with biologics like PRP. 2. Synthetic Patches Non-biologic, engineered materials for strength and stability. Xiros Infinity-Lock™ or Infinity-Loop™: High tensile strength polyester; particularly used in augmentation and tendon support. BioFiber Patch (Orthomed): Absorbable synthetic scaffold. ConMed Rotium™: Resorbable nanofiber scaffold that mimics native collagen; encourages tissue ingrowth. Poly-Tape (Xiros): Woven polyester for large tear reinforcement. 3. Biologic Scaffold Patches Engineered collagen or bioinductive material that supports regeneration. REGENETEN (Smith & Nephew): Bioinductive bovine collagen scaffold; promotes tendon regeneration. Biobrace (ConMed): A hybrid synthetic-bioinductive scaffold made from type I collagen + bioresorbable polymer. 4. Hybrid Approaches Combining patches with biologics or stem cells. PRP, BMAC (Bone Marrow Aspirate Concentrate), or adipose-derived cells are injected into or around the patch to enhance healing biologically. 5. Surgical Techniques of Augmentation Onlay Augmentation: Patch is placed on top of the repaired tendon to provide support. Bridging Graft: Patch is used to span the gap between retracted tendon and bone. Superior Capsular Reconstruction (SCR): In massive irreparable tears; patch recreates the superior capsule using dermal or synthetic . 🏥 Advance Knee and Shoulder Hospital