Abstract
Background
Massive degenerative rotator cuff tears are a considerable problem in the elderly. It is known that about one third of surgical repairs of damaged rotator cuffs result in re-tear. The most common reason for this failure is poor quality of the cuff due to degenerative changes. The aim of our study was to see if Artelon Tissue Reinforcement® (ATR) in the repair of a degenerative rotator cuff tear could improve the postoperative outcome.
Methods
An 81-year old man was treated surgically with repair of a massive degenerative rotator cuff tear, reinforced by an ATR-patch. The patient was followed postoperatively with clinical examinations and MRI at 6- and 15-months postoperatively. Objective outcome measures using Constant Score, WORC and Oxford Shoulder Score were analyzed 2.5 years postoperatively.
Results
The MRI showed maintained integrity of the rotator cuff at both 6- and 15-months postoperatively. The results from WORC and Oxford Shoulder Score indicate a return to normal shoulder function.
Discussion
The experience from this case and two other similar cases with excellent patient satisfaction and no signs of adverse effects has encouraged us to commence a prospective, randomized study to further analyze the effect of ATR in treating degenerative rotator cuff tears.
Keywords
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