Shoulder: Rotator Cuff

Rotator Cuff Repair Healing Influenced by Platelet-Rich Plasma Construct Augmentation

Barber FA, Hrnack SA, Snyder SJ, et al (Plano Orthopedic Sports Medicine and Spine Ctr, Plano, TX; Southern California Orthopedic Inst, Van Nuys; et al) Arthroscopy 27:1029-1035, 2011^§

Abstract

Purpose

To assess the effect of platelet-rich plasma fibrin matrix (PRPFM) construct augmentation on postoperative tendon healing as determined by magnetic resonance imaging (MRI) and clinical outcome of arthroscopic rotator cuff repair.

Methods

A comparative series of patients undergoing arthroscopic rotator cuff repair was studied. Two matched groups of patients (20 each) were included: rotator cuff repairs without PRPFM augmentation (group 1) and rotator cuff repairs augmented with 2 sutured platelet-rich plasma (PRP) constructs (group 2). A single-row cuff repair to the normal footprint without tension or marrow vents was performed by a single surgeon. Postoperative rehabilitation was held constant. Postoperative MRI scans were used to evaluate rotator cuff healing. Outcome measures included American Shoulder and Elbow Surgeons, Rowe, Single Assessment Numeric Evaluation, Simple Shoulder Test, and Constant scores.

Results

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