Our Summary

This study explored how different methods of preparing the area of attachment (footprint) can affect the healing process of the rotator cuff, a group of muscles and tendons that surround the shoulder joint. The research found that drilling into the bone and keeping the original fibrocartilage (a type of tissue) present at the spot where the tendon connects to the bone led to better quality tissue and increased strength at the point where the bone and tendon meet. These findings were observed in an animal model.

FAQs

  1. What is the impact of the method of footprint preparation on tendon-to-bone healing in rotator cuff repair?
  2. How does bone drilling and preserving the native fibrocartilage improve tissue quality and mechanical strength of the bone-tendon interface?
  3. Was the improvement in tissue quality and mechanical strength of the bone-tendon interface observed in human subjects or animal models?

Doctor’s Tip

A doctor might advise a patient undergoing tendon repair surgery to follow post-operative rehabilitation guidelines closely, including the prescribed physical therapy exercises and restrictions on certain activities to ensure optimal healing and strength of the repaired tendon. It is important to adhere to the recommended timeline for returning to normal activities to prevent re-injury or complications.

Suitable For

Patients who have suffered from tendon injuries, such as rotator cuff tears, are typically recommended for tendon repair surgery. This includes individuals who have experienced acute injuries, chronic overuse injuries, or degenerative conditions that have resulted in tendon damage. Tendon repair surgery may also be recommended for patients who have failed to respond to conservative treatments, such as physical therapy or medications. In these cases, surgery may be necessary to restore function, alleviate pain, and prevent further damage to the affected tendon.

Timeline

Before tendon repair:

  1. Patient experiences pain and limited range of motion in the affected joint.
  2. Patient undergoes imaging tests such as MRI to diagnose the extent of the tendon injury.
  3. Patient consults with a orthopedic surgeon to discuss treatment options, including tendon repair surgery.

After tendon repair:

  1. Patient undergoes tendon repair surgery, which may involve drilling into the bone and reattaching the tendon to the bone using sutures or anchors.
  2. Patient undergoes post-operative rehabilitation, including physical therapy to regain strength and range of motion in the affected joint.
  3. Over time, the repaired tendon heals and strengthens, allowing the patient to gradually return to normal activities.
  4. Follow-up appointments with the orthopedic surgeon are scheduled to monitor the healing process and address any concerns or complications.

What to Ask Your Doctor

  1. What is the recommended timeline for recovery after tendon repair surgery?
  2. What type of rehabilitation exercises or physical therapy will be necessary after surgery?
  3. Are there any potential risks or complications associated with tendon repair surgery?
  4. How long will it take before I can resume normal activities or sports after surgery?
  5. What is the success rate of tendon repair surgery for my specific injury?
  6. Will I need any additional treatments or follow-up appointments after surgery?
  7. How can I help facilitate the healing process for my tendon after surgery?
  8. Are there any dietary or lifestyle changes that can help improve tendon healing?
  9. What can I expect in terms of pain management during the recovery process?
  10. Are there any specific warning signs or symptoms that I should watch out for after surgery?

Reference

Authors: Milano G. Journal: Arthroscopy. 2017 Aug;33(8):1493-1494. doi: 10.1016/j.arthro.2017.06.010. PMID: 28779797