Our Summary

This research paper focuses on the use of scaffolds in surgeries to repair torn rotator cuff and Achilles tendons. Scaffolds are often used in these procedures to help improve healing and long-term results. The study looked at the different types of scaffolds used in these surgeries over the past decade.

It found that more clinical studies have been conducted on rotator cuff tears, and that biological scaffolds (made from natural materials) were used more often than synthetic ones (made from man-made materials) for both types of tendon repairs. In particular, scaffolds made from platelet-rich plasma (PRP) were most commonly used in rotator cuff surgeries.

However, the study found that results from biological scaffolds can vary, with PRP-based scaffolds in particular providing inconsistent results, and scaffolds made from bovine equine pericardium (the sac that surrounds a cow or horse’s heart) giving poor results.

On the other hand, all the synthetic scaffolds studied showed significant improvements in clinical and functional outcomes, and reduced pain and re-tear rates compared to traditional surgery. Therefore, the study suggests that more research should be done on the use of synthetic scaffolds in these surgeries.

FAQs

  1. What are the different types of scaffolds used in surgeries to repair torn rotator cuff and Achilles tendons?
  2. How do the results of using biological scaffolds compare to synthetic scaffolds in these surgeries?
  3. Why does the study suggest that more research should be done on the use of synthetic scaffolds in surgeries to repair torn rotator cuff and Achilles tendons?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rotator cuff repair is to follow a proper rehabilitation plan after surgery. This may include physical therapy exercises to strengthen the muscles around the repaired tendon, as well as avoiding certain activities that could put strain on the shoulder. It is important to follow the guidance of your healthcare provider to ensure a successful recovery and optimal outcome.

Suitable For

Typically, patients who are recommended for rotator cuff repair are those who have a significant tear in their rotator cuff that is causing pain, weakness, and limited range of motion in their shoulder. These tears can be caused by acute injuries, such as a fall or sudden impact, or from overuse and wear and tear over time.

Patients who have tried conservative treatments such as physical therapy, rest, and anti-inflammatory medications without success may be candidates for rotator cuff repair surgery. Additionally, patients who have a large tear that is not likely to heal on its own, or who have symptoms that significantly impact their daily activities and quality of life, may also be recommended for surgery.

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if rotator cuff repair is the best course of treatment for their specific condition. The use of scaffolds in these surgeries is just one of the many advancements in orthopedic surgery that can help improve outcomes and reduce the risk of re-tears.

Timeline

Before rotator cuff repair:

  • Patient experiences shoulder pain, weakness, and limited range of motion
  • Patient undergoes physical examination, imaging tests (such as MRI), and possibly a trial of conservative treatments like physical therapy or injections
  • If these treatments are not successful, patient may be recommended for surgery

After rotator cuff repair:

  • Patient undergoes rotator cuff repair surgery, which may involve open surgery, arthroscopic surgery, or a combination of both
  • Patient may have to wear a sling for a period of time to protect the repair
  • Patient undergoes physical therapy to regain strength and range of motion in the shoulder
  • Patient may experience pain and discomfort during the recovery period
  • Patient gradually returns to normal activities and sports, with full recovery typically taking several months to a year.

What to Ask Your Doctor

  1. What type of scaffold will be used in my rotator cuff repair surgery?
  2. What are the potential risks and benefits of using a biological scaffold versus a synthetic scaffold?
  3. How does the use of a scaffold in the surgery impact the healing process and long-term outcomes?
  4. Are there any specific post-operative care instructions or rehabilitation exercises I should follow to optimize the effectiveness of the scaffold?
  5. What is the success rate of rotator cuff repair surgeries using scaffolds compared to traditional surgery methods?
  6. Are there any factors that may affect the effectiveness of the scaffold in my particular case, such as age, activity level, or the size of the tear?
  7. How long can I expect the recovery process to take with the use of a scaffold in my rotator cuff repair surgery?
  8. Are there any alternative treatment options to using a scaffold in the surgery, and how do they compare in terms of outcomes?
  9. What are the potential complications or risks associated with using a scaffold in the rotator cuff repair surgery?
  10. What is the overall success rate of rotator cuff repair surgeries using scaffolds, and what can I expect in terms of pain relief and range of motion after the procedure?

Reference

Authors: Veronesi F, Borsari V, Contartese D, Xian J, Baldini N, Fini M. Journal: J Biomed Mater Res B Appl Biomater. 2020 Jul;108(5):1826-1843. doi: 10.1002/jbm.b.34525. Epub 2019 Nov 30. PMID: 31785081