AANA19 Shoulder Access Pass-Healing Rates of Massive Rotator Cuff Tears between Allograft Reconstruction vs. Maximal Repair: A Prospective Randomized Controlled Trial-Dr. Ivan H. Wong, M.D.

Healing Rates of Massive Rotator Cuff Tears between Allograft Reconstruction vs. Maximal Repair: A Prospective Randomized Controlled Trial-Dr. Ivan H. Wong, M.D.

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Video Transcription

Video Summary

In a video presentation, the speaker discusses a randomized control trial comparing maximum repair versus graft reconstruction for large, massive tears in the rotator cuff. The current gold standard, repair, has high re-tear rates. The speaker conducted a level four study with 45 patients and found that using grafts to bridge the distance between a repaired cuff resulted in higher scores for healing, patient satisfaction, and shoulder function. A systematic review of existing data showed positive outcomes with bridging reconstruction. The speaker then presents the methodology and preliminary results of their own prospective randomized control trial, which found a significantly lower re-tear rate and lower progression to osteoarthritis with reconstruction compared to repair. This study represents the first of its kind and suggests that rotator cuff reconstruction with acellular dermal matrix may be a better option.

Asset Caption

Concurrent Scientific Session V: Paper Presentations - Shoulder 5.3.2019

Meta Tag

Concept Maximal Rotator Cuff Repair

Concept Massive Rotator Cuff Tear

Concept Re-tear

Concept Bridging Reconstruction

Concept Randomized Prospective Study

Keywords

randomized control trial

maximum repair

graft reconstruction

rotator cuff

re-tear rates

Maximal Rotator Cuff Repair

Massive Rotator Cuff Tear

Re-tear

Bridging Reconstruction

Randomized Prospective Study