Rotator Cuff Disease and Today’s Treatments
The treatment of symptomatic partial-thickness rotator cuff tears refractory to conservative management represents a significant challenge for orthopedic surgeons. In a recent literature review it was shown that a significant percentage of partial-thickness tears, 6.5 – 34.6%, progress to full-thickness tears.1 Unfortunately, there is no consensus on a single algorithmic treatment approach for these type of tears.2 In addition, trans-tendinous and takedown repairs often lead to prolonged patient recovery and stiffness. A key contributor to impaired healing and tear propagation is thought to be an increase in local strain at the injury site. Research has demonstrated significantly increased strains at the injury site for bursal-sided, articular-sided and intra-substance tears of the supraspinatus tendon.3
Even with today’s repair procedures, research shows that up to 40% of full-thickness tears may re-tear.4 Moreover, today’s standard repair treatments do not address tissue quality which can impact the durability of the repair.
Benefits of the Rotation Medical Rotator Cuff System
The Rotation Medical bioinductive implant offers surgeons a novel and excellent option to treat symptomatic partial-thickness tears and augment rotator cuff repairs with poor tissue quality.
The novel, arthroscopic, disposable instrumentation enables the procedure to be performed quickly and reproducibly. Average procedure time is ~15 minutes.
For Partial-Thickness Tears
- Can be used in lieu of standard repair procedures
- Eliminates need to complete the tear
- Allows patients shortened rehabilitation, quicker return to work
- Potentially prevent and/or slow disease progression
For Full-Thickness Tears
- Creates thicker and stronger tendons
- Patient rehabilitation similar to standard repair protocols
- Potentially will reduce re-tear rates
- Strauss E.J. et al., “The Arthroscopic Management of Partial-Thickness Rotator Cuff Tears: A Systematic Review of the Literature. Arthroscopy.” The Journal of Arthroscopic and Related Surgery 2011: Vol 27, No 4, 568-580.
- Finnan, R.P. and Crosby, L.A. “Partial-thickness rotator cuff tears.” J Shoulder Elbow Surg 2010: Vol. 19, 609-616.
- Sano H. et. al. “Stress distribution in the supraspinatus tendon with partial-thickness tears: An analysis using two-dimensional finite element model.” J Shoulder Elbow Surg 2006: Vol. 15, No 1, 100-105.
- Le, B.T.N. et al. “Factors Predicting Rotator Cuff Retears: An Analysis of 1000 Consecutive Rotator Cuff Repairs. ” Am J Sports Med 2014: Vol. 42, 1134-42.