The 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.
Methods
A 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.
Results
Significantly 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.
Conclusions
This 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.
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