A Synthetic Reinforcement Patch in Repair of Challenging Two-Tendon Rotator Cuff Tears

Abstract

BackgroundThe repair of chronic massive tendon tears may be a challenging procedure, especially with a frayed tendon caused by degeneration. The aim of this case series was to evaluate the outcome of a synthetic patch in the repair of complex rotator cuff tears, with regard to shoulder function, pain relief and quality of life.MethodsA synthetic patch (Artelon® Tissue Reinforcement; Artimplant AB, Västra Frölunda, Sweden) was used in 17 patients with challenging repairs of chronic rotator cuff tears. The outcome of surgical treatment was evaluated after 3, 6 and 12 months by the Constant functional score and the Western Ontario Rotator Cuff (WORC) score.ResultsSignificantly less pain and improved shoulder function, as evaluated by the Constant score, was seen 1 year after surgery, as well as an increased WORC score as a measure of improved disease-related quality of life. Re-operation was performed in one patient as a result of a re-tear. There were no complications related to the use of the reinforcement patch.ConclusionsThis case series showed satisfying results in technically challenging repairs of rotator cuff tears with the use of a synthetic reinforcement patch. Postoperatively, the patients showed less pain and improved shoulder function to the extent to perform better in daily life activities.