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Soft Tissue to Bone Healing in Rotator Cuff Repair

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Structural Interfaces and Attachments in Biology

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Abstract

Tears of the rotator cuff tendons of from their bony insertions are an extremely important clinical problem. Although rotator cuff repair is a common shoulder procedure in the orthopaedic setting, healing of the tendons to bone after surgical repair is unpredictable, with failure rates ranging from 20 to 94%. The high failure rates are likely due to the scar-mediated process that dominates healing in the adult setting, resulting in an attachment that has significantly inferior mechanical properties compared to native tissue. In this chapter, we review the normal anatomy of the rotator cuff and its insertion site, discuss factors affecting tendon-to-bone healing, and describe surgical repair techniques. The chapter concludes with recent innovations that have been implemented to improve the strength of the repair and to biologically augment the healing process.

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  1. Department of Orthopaedic Surgery, Washington University, 660 South Euclid, 8233, St. Louis, MO, 63110, USA

    Leesa M. Galatz

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  1. Leesa M. Galatz
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Correspondence to Leesa M. Galatz .

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  1. , Department of Orthopedic Surgery, Washington University, South Euclid 660, St. Louis, 63110, Missouri, USA

    Stavros Thomopoulos

  2. , Engineering Education Center, Missouri University of Science and Tech., University Blvd. One, St. Louis, 63121, Missouri, USA

    Victor Birman

  3. , Mechanical Engineering, Washington University, 1 Brookings Drive, St. Louis, 63130, Missouri, USA

    Guy M. Genin

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Galatz, L.M. (2013). Soft Tissue to Bone Healing in Rotator Cuff Repair. In: Thomopoulos, S., Birman, V., Genin, G. (eds) Structural Interfaces and Attachments in Biology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3317-0_12

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