Reconstruction of irreparable rotator cuff tears with an acellular dermal matrix in elderly patients without joint arthritis
Gbejuade, Herbert Patel, Mohammed S Singh, Harvinder Modi, Amit
Gbejuade, Herbert
Patel, Mohammed S
Singh, Harvinder
Modi, Amit
Abstract
Background: Reverse shoulder arthroplasty is the mainstay of treatment for symptomatic irreparable rotator cuff tears in elderly patients without arthritis. However, this treatment incurs significant costs and is a major surgical undertaking. This study explores an alternative that involves the reconstruction of irreparable rotator cuff tears using an acellular dermal matrix in elderly patients without established joint arthritis.
Methods: We prospectively evaluated the reconstruction of massive irreparable rotator cuff tears in 21 patients aged 68 years and over without radiographic glenohumeral joint osteoarthritis in whom conservative management had failed. A human dermal acellular matrix graft was used as a bridging graft for reconstruction. Pain scores, Oxford Shoulder Scores and ranges of movement were all assessed preoperatively and postoperatively. The mean follow-up period was 5.8 years (range 2.6 to 8.9 years).
Results: Statistically significant (p < 0.05) improvements were observed in Oxford Shoulder Scores (mean preoperative score, 21; mean postoperative score, 46), pain scores (mean preoperative score, 6; mean postoperative score, 0) and ranges of movement. Patients also reported a high satisfaction rate with the procedure.
Discussion: Human tissue matrix allografts could serve as a suitable option for the treatment of elderly patients with massive irreparable rotator cuff tears without arthritis.
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Date
2022-07
Type
Article
Subject
GraftJacket, Massive rotator cuff tear, Allograft, Bridging repair, Glenohumeral joint arthritis, Irreparable
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Citation
Gbejuade, H., Patel, M. S., Singh, H., & Modi, A. (2022). Reconstruction of irreparable rotator cuff tears with an acellular dermal matrix in elderly patients without joint arthritis. Shoulder & elbow, 14(1 Suppl), 83–89. https://doi.org/10.1177/1758573220965535