An investigation of the outcome of arthroscopic rotator cuff repair of large and massive rotator cuff repairs performed with extracellular matrix augmentation.

1. Ashford
and
St
Peters
Hospital,
Chertsey,
UNITED
KINGDOM
Introduc)on
Methods
13-­‐5521
Purpose
We aim to investigate the outcome of arthroscopic rotator cuff repair of large and massive rotator
cuff repairs performed with extracellular matrix augmentation.
Results
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracellular Matrix
Augmentation
Conclusion
Fourteen consecutive patients undergoing arthroscopic rotator cuff repair with
extracellular matrix augment for large and massive tears were prospectively enrolled into
this single surgeon study. The patients were scored preoperatively with Constant and
Oxford scores and again at 3 months, 6months and 1year post surgery. Visual analogue
scores were also recorded. All repairs were performed arthroscopically with a double row
technique augmented with extracellular matrix. Patients were rehabilitated with
standardised protocol. Minimum follow up was 6 months.
Despite advancements in arthroscopic rotator cuff repair, the best
technique for arthroscopic rotator cuff repair is still debatable. A
Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With
Extracellular Matrix Augmentation
Mohamed A. Imam, Paolo Consigliere, Ioannis Polyzois, Tanya Sarkhel , Rohit Gupta, Ofer Levy, Ali Narvani
Ashford and St Peters Hospital, Chertsey, UNITED KINGDOM
Mean Constant score improved from 54 (SD=2.3) pre-operatively
to 75 (SD=12) at final follow up (p<0.05). Mean Oxford score also
increased from 32.6 (SD=7.8) pre-operatively to 50.7 (SD=6.7) at
the final follow up (p<0.05). The visual analogue scale (VAS)
improved from 6.2 out of 10 (SD=1.5) preoperatively to 0.4
(SD=0.8) at final follow up (p<0.05).
Our results demonstrate significant improvements in both function and
pain following arthroscopic rotator cuff repair with extracellular matrix
augmentation at minimum of 6 months follow up. These findings
highlight the need for large scale randomised controlled trials on role of
arthroscopic rotator cuff repair of large and massive tears with
augmentation.