Rotator Cuff Graft/Patch Augmentation

Rotator Cuff Graft/Patch Augmentation

When there is a partial tear of the rotator cuff that is symptomatic and not responding to conservative treatment, it is sometimes necessary to consider surgery.

Even though the tears may be partial thickness, the equivalent of a full repair is usually necessary. While full repairs do provide good results, the recovery time can be many months and requires a significant amount of rehabilitation exercises.

A rotator cuff augment or patch which improves tendon strength and healing has been developed which supports the tendon where it is torn and induces healing. This bio-inductive collagen implant is placed over the site of the cuff tear without the need for a full repair. Patients are able to resume their normal activities quicker than after a full repair with a corresponding improvement in pain. The patch is absorbed within 6 months in most cases, and follow up MRI scans have shown an increase in the thickness of the tendon.

The collagen implant can also be used to augment full rotator cuff repairs and even in revision situations where previous repairs have not resulted in healing of the tendon.

Regeneten™ Bioinductive Implant

The bioinductive implant is derived from highly purified bovine tendon and encourages the natural healing response of the body. It has been used in the United States for many years and has just been introduced in Australia. Mr Chua was the first rotator cuff specialist in Victoria to use the new patch.

The patch can be inserted arthroscopically (using keyhole surgery) with the option of performing a full repair or revision repair at the same time. In the setting of a partial tear, the use of a sling can be weaned after just one week, compared to an average of 4 to 6 weeks for a full repair.

Not all rotator cuff tears are suitable for the use of a patch augment. Mr Chua will assess your shoulder and the specifics of your individual tear, and discuss with you to determine whether the use of the bioinductive implant can be considered.

Other Procedures

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