What is a Rotator Cuff Repair with Augmentation?
This procedure is typically performed with a combination of an arthroscopic and open approach to the shoulder. The torn tendon is identified and a primary repair is attempted. At this point a decision is made as to whether the tendon would benefit from an augmentation. If this is the case a donated graft (patch) is obtained. The patch is sewn into the rotator cuff tendon and a repair is completed using strong sutures and anchors into the bone to secure the graft and tendon together. In specific situations, adjuncts may be used to assist in healing such as a marrow stimulation healing response technique or an injection of platelet rich plasma. The type of tear will dictate the exact configuration of the repair needed as well as the size of the patch.
Recovery Following a Rotator Cuff Repair with Augmentation
After surgery, patients are placed into a sling and an individualized physical therapy program is started. The specific progression of therapy will depend on the configuration of the tear, type of repair, and number of tendons involved. In cases of graft augmentation the progression of therapy is slower than that involving a primary repair. This typically consists of passive range of motion, followed by active motion, strengthening, and eventually return to activities. The sling is worn for 8 weeks after the surgery. The procedure has been shown to be highly successful in alleviating pain and improving function of the shoulder.
For additional information on rotator cuff injuries, or to learn more about rotator cuff repair with a graft reinforcement augmentation, please contact the office of Dr. Robert Boykin, orthopedic shoulder specialist and surgeon serving Asheville, Arden, Fletcher and surrounding North Carolina communities.