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Augmentation in Rotator Cuff Repair: Improving Biomechanics

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Shoulder Arthroscopy

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Abstract

This chapter gives an overview about the biomechanical advantages of patches as augmentation of rotator cuff repairs in order to improve healing of the construct especially in chronic and massive tears. Moreover, the clinical results of different grafts as augmentation for rotator cuff repairs, based on current literature, are described.

In summary, rotator cuff repair with additional augmentation may improve biomechanical properties, clinical results as well as healing rates in massive, chronic tears of the rotator cuff. However, due to the inconsistent results in the literature, neither a clear superior improvement over simple rotator cuff repair or partial repair can be stated nor a clear recommendation concerning the type of graft can be given.

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Author information

Authors and Affiliations

  1. Department of Shoulder Surgery and Sports Traumatology, Schoen-Clinic Lorsch, Lorsch, Germany

    Olaf Lorbach

  2. Department of Orthopedic Surgery, Traumatology and Sports Medicine, Katholisches Klinikum Ruhrgebiet Nord, KKRN, Marl, Germany

    Mike H. Baums

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  1. Olaf Lorbach
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Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Lorbach, O., Baums, M.H. (2023). Augmentation in Rotator Cuff Repair: Improving Biomechanics. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_41

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_41

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  • Print ISBN: 978-3-662-66867-2

  • Online ISBN: 978-3-662-66868-9

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