The Rotator Cuff Healing Index: A New Scoring System to Predict Rotator Cuff Healing After Surgical Repair.

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Abstract

[Indexed for MEDLINE] 4. Orthop Clin North Am. 2019 Jan;50(1):103-108. doi: 10.1016/j.ocl.2018.08.005. Technologies to Augment Rotator Cuff Repair. Murthi AM(1), Lankachandra M(2). Author information: (1)Department of Orthopaedics, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA. Electronic address: amurthi14@hotmail.com. (2)Department of Orthopaedics, MedStar Union Memorial Hospital, 3333 North Calvert Street, Suite 400, Baltimore, MD 21218, USA. Healing rates after rotator cuff repair vary widely. New technologies seek to improve tendon to bone healing with the addition of platelet-rich plasma, stem cells, and biological and synthetic grafts. Platelet-rich plasma and mesenchymal stem cells are used to help create a favorable environment for tendon to bone healing, and grafts and scaffolds provide structural support for repair. The efficacy of platelet-rich plasma and stem cell products seems to be variable, with different products offering different levels of cytokine and growth factors. Scaffold material is also variable with a wide range of synthetic and biological grafts. Copyright © 2018 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2018.08.005