Orthopedics. 2024 Nov-Dec;47(6):e282-e286. doi: 10.3928/01477447-20241028-01. Epub 2024 Oct 31.
Rotator cuff tears are common in an aging population. Thus far, primary repairs have shown high re-tear rates suggesting the need for improved healing modalities. Current augmentations of rotator cuff repairs include synthetic and biological scaffolds, surgical bone marrow venting, and infusing the repair with a variety of stem cells and growth factors aimed at restoring the native cellular structure and function of the repaired tissue. This current concepts review discusses the anatomy, physical presentation, diagnosis, and treatment of rotator cuff tears; biological adjuvants for rotator cuff repairs; and the current literature on outcomes after biologically augmented rotator cuff repairs. [. 2024;47(6):e282-e286.].
肩袖撕裂在老龄化人群中很常见。到目前为止,初次修复后的高再撕裂率表明需要改进愈合方式。目前对肩袖修复的增强包括合成和生物支架、手术骨髓通风以及向修复部位注入各种干细胞和生长因子,旨在恢复修复组织的固有细胞结构和功能。本综述讨论了肩袖撕裂的解剖、物理表现、诊断和治疗;肩袖修复的生物佐剂;以及生物增强型肩袖修复后结果的现有文献。[文献来源]