Effectiveness of arthroscopic superior capsular reconstruction using a "sandwich" patch combined with platelet-rich plasma injection in treating massive irreparable rotator cuff tears.
10.7507/1002-1892.202506010
- Author:
Wen ZOU
1
;
Ming ZHOU
1
;
Shaoyong FAN
1
;
Huiming HOU
1
;
Li GONG
1
;
Tao XU
1
;
Liangshen HU
1
;
Jiang JIANG
1
Author Information
1. Department of Sports Medicine, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang Jiangxi, 330006, P. R. China.
- Publication Type:Journal Article
- Keywords:
Massive irreparable rotator cuff tears;
arthroscopy;
fascia lata;
platelet rich plasma;
polypropylene patch
- MeSH:
Humans;
Platelet-Rich Plasma;
Female;
Male;
Middle Aged;
Aged;
Rotator Cuff Injuries/therapy*;
Arthroscopy/methods*;
Adult;
Retrospective Studies;
Aged, 80 and over;
Treatment Outcome;
Plastic Surgery Procedures/methods*;
Rotator Cuff/surgery*;
Range of Motion, Articular;
Shoulder Joint/surgery*
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(10):1285-1289
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate effectiveness of arthroscopic superior capsular reconstruction using a "sandwich" patch combined with platelet-rich plasma (PRP) injection in treating massive irreparable rotator cuff tears.
METHODS:A clinical data of 15 patients (15 sides) with massive irreparable rotator cuff tears, who were admitted between September 2020 and March 2023 and met the selective criteria, was retrospectively analyzed. There were 8 males and 7 females with an average age of 62.1 years (range, 40-80 years). The rotator cuff tears were caused by trauma in 7 cases and other reasons in 8 cases. The disease duration ranged from 5 to 25 months, with an average of 17.7 months. According to the Hamada grading, the rotator cuff tears were rated as grade 1 in 2 cases, grade 2 in 8 cases, and grade 3 in 5 cases. All patients were underwent superior capsular reconstruction using the "sandwich" patches (autologous fascia lata+polypropylene patch+autologous fascia lata) combined with PRP injection on patches. The pre- and post-operative active range of motion (ROM) of the shoulder joint, American Shoulder and Elbow Surgeons (ASES) score, Constant-Murley score, University of California, Los Angeles Shoulder Rating Scale (UCLA) score, and visual analogue scale (VAS) score were recorded. The subacromial space was measured on the imaging and rotator cuff integrity was assessed based on Sugaya grading.
RESULTS:All incisions healed by first intention after operation without any complications such as infection. All patients were followed up 12-18 months (mean, 14.4 months). At last follow-up, the active ROMs of flexion, abduction, external rotation, internal rotation of the shoulder joint, subacromial space, ASES score, Constant-Murley score, and UCLA score increased, and VAS score decreased, showing significant differences when compared with preoperative values ( P<0.05). There was no significant difference in the Sugaya grading between last follow-up and immediately after operation ( P>0.05).
CONCLUSION:For massive irreparable rotator cuff tears, arthroscopic superior capsular reconstruction using the "sandwich" patches combined with PRP injection can restore stability of the shoulder joint, relieve pain, promote rotator cuff healing, and achieve good short-term effectiveness.
