Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Sep 24;4(5):e471-4.
doi: 10.1016/j.eats.2015.04.007. eCollection 2015 Oct.

Augmented Fixation With Biodegradable Subacromial Spacer After Repair of Massive Rotator Cuff Tear

Murat Bozkurt  1 , Mustafa Akkaya  1 , Safa Gursoy  1 , Cetin Isik  1
Affiliations

Augmented Fixation With Biodegradable Subacromial Spacer After Repair of Massive Rotator Cuff Tear

Murat Bozkurt et al. Arthrosc Tech. .

Abstract

Unsuccessful outcomes after repair of massive rotator cuff ruptures accompanied by muscle atrophy and fatty degeneration are frequently associated with inadequate management and secondary tears. We report the functional differences after rotator cuff rupture repair with a biodegradable spacer application. In these patients, rotator cuff rupture repair should provide coverage of the humeral head. Subsequently, acromioplasty should be performed to allow adequate space for the subacromial spacer. Thereafter measurement of the intra-articular space required for application of the biodegradable spacer is performed. Using this method can decrease the rate of tears by providing a safe subacromial space in cases of massive rotator cuff rupture.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Right shoulder in a patient lying in the beach-chair position. (A) The area of the massive rotator cuff rupture is viewed from the lateral portal. Arrows show the retracted suprascapularis tendon. (B) Cuff repair is performed arthroscopically by anchor application through the lateral portal view. (C) Massive cuff rupture repair is performed by the double-row technique. Arrows show the anchor sutures after rotator cuff rupture repaired.
Fig 2
Fig 2
(a) Proximal edge of application cannula inserted through lateral portal. (b) Visualization of ruptured rotator cuff area after repair through posterior portal. (c) Distal edge of application cannula (2 cm medial to superior glenoid rim).
Fig 3
Fig 3
(a) Subacromial balloon after removal of application cannula. (b) Inflated subacromial balloon with saline solution infusion. Arrows show the InSpace balloon before inflation in the joint.
Fig 4
Fig 4
(A) Coronal and (B) axial magnetic resonance imaging views of repaired massive rotator cuff rupture and subacromial balloon after 6 months. The oval shows the InSpace balloon at 6 month postoperative follow-up MRI on the (A) coronal plane and on the (B) axial plane.
See this image and copyright information in PMC

References

    1. Burkhart S.S., Barth J.R., Richards D.P., Zlatkin M.B., Larsen M. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration. Arthroscopy. 2007;23:347–354. - PubMed
    1. Zingg P.O., Jost B., Sukthankar A., Buhler M., Pfirrmann C.W., Gerber C. Clinical and structural outcomes of nonoperative management of massive rotator cuff tears. J Bone Joint Surg Am. 2007;89:1928–1934. - PubMed
    1. Bond J.L., Dopirak R.M., Higgins J., Burns J., Snyder S.J. Arthroscopic replacement of massive, irreparable rotator cuff tears using a Graft Jacket allograft: Technique and preliminary results. Arthroscopy. 2008;24:403–409. - PubMed
    1. Senekovic V., Poberaj B., Kovacic L., Mikek M., Adar E., Dekel A. Prospective clinical study of a novel biodegradable sub-acromial spacer in treatment of massive irreparable rotator cuff tears. Eur J Orthop Surg Traumatol. 2013;23:311–316. - PubMed
    1. Savarese E., Romeo R. New solution for massive, irreparable rotator cuff tears: The subacromial “biodegradable spacer.”. Arthrosc Tech. 2012;4:e69–e74. - PMC - PubMed