Cedars Sinai - Kerlan Jobe Institute.
Arthroscopy. 2022 Jul;38(7):2175-2177. doi: 10.1016/j.arthro.2022.02.025.
Improving rotator cuff repair results is the goal of all shoulder surgeons. The addition of a biologic graft may speed healing, allow accelerated rehabilitation, and increase healing rates. Recent research suggests that augmentation of rotator cuff repair using dermal allograft may be cost-effective. Indications for dermal allografts are revision rotator cuff repairs and primary cuff repairs in which a tensionless repair cannot be accomplished. Allografts act as a load-sharing device to allow tendons to heal without tension. They also serve to fill the gap in irreparable cuff tears. It is important to understand that augmentation will not compensate for advanced muscle fatty atrophy or neurapraxia. Precautions to prevent Cutibacterium acne nosocomial infection are essential. The healing time or dermal grafts is considerably longer than the repaired native cuff tendon, requiring supervised rehabilitation. Dermal allografts are a crucial tool for repair of irreparable rotator cuff tears and for revision surgery. From an economic standpoint, they now also may be considered for use in primary rotator cuff repair surgery.
提高肩袖修复的效果是所有肩肘外科医生的目标。生物移植物的添加可以加速愈合，允许加速康复，并提高愈合率。最近的研究表明，使用真皮同种异体移植物增强肩袖修复可能具有成本效益。真皮同种异体移植物的适应证为肩袖修复翻修术和原发性肩袖修复术，在这些手术中，无法完成无张力修复。同种异体移植物作为一种负荷分担装置，可使肌腱在无张力的情况下愈合。它们还可用于填充不可修复的肩袖撕裂的间隙。重要的是要了解，增强不会补偿晚期肌肉脂肪萎缩或神经失用。预防医院获得性痤疮丙酸杆菌感染的预防措施至关重要。真皮移植物的愈合时间明显长于修复的天然肩袖肌腱，需要进行监督康复。真皮同种异体移植物是修复不可修复的肩袖撕裂和修复翻修手术的重要工具。从经济角度来看，它们现在也可能被考虑用于原发性肩袖修复手术。
