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Repair with Biologic Augment

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The Failed Rotator Cuff

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Abstract

Rotator cuff repair experiences high rates of failure, resulting from a combination of various patient-related, surgical, and postoperative factors. Deficiencies that predispose patients to primary failure can often lead to even worse outcomes following revision repair. It has been reported that compared to primary rotator cuff repair, revision repairs experience twice the risk of retear and poor functional outcomes. Biological augmentation of revision rotator cuff repair has the potential to alleviate this burden by enhancing tendon-to-bone healing and providing natural growth factors and chemokines. There is specific interest in the patient cohort with healthy rotator cuff muscles, but compromised healing potential and poor tendon quality. This chapter will explore the prevalence of rotator cuff retear, the patient that will benefit most from a revision, and the various biological augmentation options that may increase healing in the revision rotator cuff repair.

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Author information

Authors and Affiliations

  1. Orthopaedic Foundation for Active Lifestyles, Stamford, CT, USA

    Grace C. Plassche, Stephanie C. Petterson & Kevin D. Plancher

  2. Montefiore Medical Center/Albert Einstein College of Medicine, New York City, NY, USA

    Kevin D. Plancher

  3. Weill Cornell Medical College, New York City, NY, USA

    Kevin D. Plancher

  4. Plancher Orthopaedics and Sports Medicine, New York City, NY, USA

    Kevin D. Plancher

Authors
  1. Grace C. Plassche
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  2. Stephanie C. Petterson
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  3. Kevin D. Plancher
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Corresponding author

Correspondence to Kevin D. Plancher .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Tulane University, New Orleans, LA, USA

    Felix H. Savoie III

  2. Department of Orthopedic Surgery and Traumatology, Shoulder and Elbow Reconstructive Surgery Unit, Hospital Universitario Fundacion Jimenez Diaz Universidad Autonoma, Madrid, Spain

    Emilio Calvo

  3. Department of Orthopaedic Surgery and UCONN Musculoskeletal Institute, University of Connecticut Health Center, Farmington, CT, USA

    Augustus D. Mazzocca

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Plassche, G.C., Petterson, S.C., Plancher, K.D. (2021). Repair with Biologic Augment. In: Savoie III, F.H., Calvo, E., Mazzocca, A.D. (eds) The Failed Rotator Cuff. Springer, Cham. https://doi.org/10.1007/978-3-030-79481-1_13

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  • DOI: https://doi.org/10.1007/978-3-030-79481-1_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-79480-4

  • Online ISBN: 978-3-030-79481-1

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