Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods

  • Kim, Jangwoo (Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Ryu, Yunki (Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Sae Hoon (Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2019.12.09
  • Accepted : 2020.01.08
  • Published : 2020.03.01
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Abstract

Although the prevalence of rotator cuff tears is dependent on the size, 11% to 94% of patients experience retear or healing failure after rotator cuff repair. Treatment of patients with failed rotator cuff repair ranges widely, from conservative treatment to arthroplasty. This review article attempts to summarize the most recent and relevant surgical options for failed rotator cuff repair patients, and the outcomes of each treatment, except arthroplasty.

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References

  1. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 2004;86:219-24. https://doi.org/10.2106/00004623-200402000-00002
  2. Harryman DT 2nd, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA 3rd. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 1991;73:982-9. https://doi.org/10.2106/00004623-199173070-00004
  3. Lafosse L, Brozska R, Toussaint B, Gobezie R. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am 2007;89:1533-41. https://doi.org/10.2106/00004623-200707000-00018
  4. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 2005;87:1229-40.
  5. Frank JB, ElAttrache NS, Dines JS, Blackburn A, Crues J, Tibone JE. Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair. Am J Sports Med 2008;36:1496-503. https://doi.org/10.1177/0363546507313574
  6. Huijsmans PE, Pritchard MP, Berghs BM, van Rooyen KS, Wallace AL, de Beer JF. Arthroscopic rotator cuff repair with double-row fixation. J Bone Joint Surg Am 2007;89:1248-57. https://doi.org/10.2106/00004623-200706000-00013
  7. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair: a prospective outcome study. J Bone Joint Surg Am 2007;89:953-60. https://doi.org/10.2106/00004623-200705000-00006
  8. Tashjian RZ, Hollins AM, Kim HM, et al. Factors affecting healing rates after arthroscopic double-row rotator cuff repair. Am J Sports Med 2010;38:2435-42. https://doi.org/10.1177/0363546510382835
  9. Zumstein MA, Jost B, Hempel J, Hodler J, Gerber C. The clinical and structural long-term results of open repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2008;90:2423-31. https://doi.org/10.2106/JBJS.G.00677
  10. Nho SJ, Brown BS, Lyman S, Adler RS, Altchek DW, MacGillivray JD. Prospective analysis of arthroscopic rotator cuff repair: prognostic factors affecting clinical and ultrasound outcome. J Shoulder Elbow Surg 2009;18:13-20. https://doi.org/10.1016/j.jse.2008.05.045
  11. Liem D, Lichtenberg S, Magosch P, Habermeyer P. Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am 2007;89:1770-6. https://doi.org/10.2106/00004623-200708000-00015
  12. Shin YK, Ryu KN, Park JS, Jin W, Park SY, Yoon YC. Predictive factors of retear in patients with repaired rotator cuff tear on shoulder MRI. AJR Am J Roentgenol 2018;210:134-41. https://doi.org/10.2214/AJR.17.17915
  13. Meyer DC, Wieser K, Farshad M, Gerber C. Retraction of supraspinatus muscle and tendon as predictors of success of rotator cuff repair. Am J Sports Med 2012;40:2242-7. https://doi.org/10.1177/0363546512457587
  14. Garcia GH, Liu JN, Degen RM, et al. Higher critical shoulder angle increases the risk of retear after rotator cuff repair. J Shoulder Elbow Surg 2017;26:241-5. https://doi.org/10.1016/j.jse.2016.07.009
  15. Nho SJ, Adler RS, Tomlinson DP, et al. Arthroscopic rotator cuff repair: prospective evaluation with sequential ultrasonography. Am J Sports Med 2009;37:1938-45. https://doi.org/10.1177/0363546509335764
  16. Kim HM, Caldwell JM, Buza JA, et al. Factors affecting satisfaction and shoulder function in patients with a recurrent rotator cuff tear. J Bone Joint Surg Am 2014;96:106-12. https://doi.org/10.2106/JBJS.L.01649
  17. Shamsudin A, Lam PH, Peters K, Rubenis I, Hackett L, Murrell GA. Revision versus primary arthroscopic rotator cuff repair: a 2-year analysis of outcomes in 360 patients. Am J Sports Med 2015;43:557-64. https://doi.org/10.1177/0363546514560729
  18. Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am 2000;82:505-15. https://doi.org/10.2106/00004623-200004000-00006
  19. Piasecki DP, Verma NN, Nho SJ, et al. Outcomes after arthroscopic revision rotator cuff repair. Am J Sports Med 2010;38:40-6. https://doi.org/10.1177/0363546509346401
  20. Djurasovic M, Marra G, Arroyo JS, Pollock RG, Flatow EL, Bigliani LU. Revision rotator cuff repair: factors influencing results. J Bone Joint Surg Am 2001;83:1849-55. https://doi.org/10.2106/00004623-200112000-00013
  21. Hartzler RU, Sperling JW, Schleck CD, Cofield RH. Clinical and radiographic factors influencing the results of revision rotator cuff repair. Int J Shoulder Surg 2013;7:41-5. https://doi.org/10.4103/0973-6042.114221
  22. Neer CS. II SC. Reoperation for failed cuff repairs. In: Closed Meeting of the American Shoulder and Elbow Surgeons; 1987;Orlando, FL, USA.
  23. Ladermann A, Denard PJ, Burkhart SS. Midterm outcome of arthroscopic revision repair of massive and nonmassive rotator cuff tears. Arthroscopy 2011;27:1620-7. https://doi.org/10.1016/j.arthro.2011.08.290
  24. Sugaya H, Maeda K, Matsuki K, Moriishi J. Functional and structural outcome after arthroscopic full-thickness rotator cuff repair: single-row versus dual-row fixation. Arthroscopy 2005;21:1307-16. https://doi.org/10.1016/j.arthro.2005.08.011
  25. Cho NS, Yi JW, Lee BG, Rhee YG. Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique. Am J Sports Med 2010;38:664-71. https://doi.org/10.1177/0363546509350081
  26. Bedeir YH, Schumaier AP, Abu-Sheasha G, Grawe BM. Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review. Eur J Orthop Surg Traumatol 2019;29:373-82. https://doi.org/10.1007/s00590-018-2306-8
  27. Ladermann A, Denard PJ, Burkhart SS. Management of failed rotator cuff repair: a systematic review. J ISAKOS 2016;1:32-7. https://doi.org/10.1136/jisakos-2015-000027
  28. Lo IK, Burkhart SS. Arthroscopic revision of failed rotator cuff repairs: technique and results. Arthroscopy 2004;20:250-67. https://doi.org/10.1016/j.arthro.2004.01.006
  29. Bigliani LU, Cordasco FA, McIlveen SJ, Musso ES. Operative treatment of failed repairs of the rotator cuff. J Bone Joint Surg Am 1992;74:1505-15. https://doi.org/10.2106/00004623-199274100-00009
  30. Ma HL, Hung SC, Wang ST, Chen TH. The reoperation of failed rotator cuff repairs. J Chin Med Assoc 2003;66:96-102.
  31. Rockwood CA Jr, Williams GR Jr, Burkhead WZ Jr. Debridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am 1995;77:857-66. https://doi.org/10.2106/00004623-199506000-00006
  32. Walch G, Edwards TB, Boulahia A, Nove-Josserand L, Neyton L, Szabo I. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J Shoulder Elbow Surg 2005;14:238-46. https://doi.org/10.1016/j.jse.2004.07.008
  33. Fenlin JM Jr, Chase JM, Rushton SA, Frieman BG. Tuberoplasty: creation of an acromiohumeral articulation-a treatment option for massive, irreparable rotator cuff tears. J Shoulder Elbow Surg 2002;11:136-42. https://doi.org/10.1067/mse.2002.121764
  34. Scheibel M, Lichtenberg S, Habermeyer P. Reversed arthroscopic subacromial decompression for massive rotator cuff tears. J Shoulder Elbow Surg 2004;13:272-8. https://doi.org/10.1016/j.jse.2004.01.007
  35. Gerber C, Wirth SH, Farshad M. Treatment options for massive rotator cuff tears. J Shoulder Elbow Surg 2011;20:S20-9. https://doi.org/10.1016/j.jse.2010.11.028
  36. Berth A, Neumann W, Awiszus F, Pap G. Massive rotator cuff tears: functional outcome after debridement or arthroscopic partial repair. J Orthop Traumatol 2010;11:13-20. https://doi.org/10.1007/s10195-010-0084-0
  37. Burkhart SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli A. Partial repair of irreparable rotator cuff tears. Arthroscopy 1994;10:363-70. https://doi.org/10.1016/S0749-8063(05)80186-0
  38. Halder AM, O'Driscoll SW, Heers G, et al. Biomechanical comparison of effects of supraspinatus tendon detachments, tendon defects, and muscle retractions. J Bone Joint Surg Am 2002;84:780-5. https://doi.org/10.2106/00004623-200205000-00013
  39. Denard PJ, Koo SS, Murena L, Burkhart SS. Pseudoparalysis: the importance of rotator cable integrity. Orthopedics 2012;35:e1353-7.
  40. Burkhart SS. Reconciling the paradox of rotator cuff repair versus debridement: a unified biomechanical rationale for the treatment of rotator cuff tears. Arthroscopy 1994;10:4-19. https://doi.org/10.1016/S0749-8063(05)80288-9
  41. Duralde XA, Bair B. Massive rotator cuff tears: the result of partial rotator cuff repair. J Shoulder Elbow Surg 2005;14:121-7. https://doi.org/10.1016/j.jse.2004.06.015
  42. Kim SJ, Lee IS, Kim SH, Lee WY, Chun YM. Arthroscopic partial repair of irreparable large to massive rotator cuff tears. Arthroscopy 2012;28:761-8. https://doi.org/10.1016/j.arthro.2011.11.018
  43. Malahias MA, Kostretzis L, Chronopoulos E, Brilakis E, Avramidis G, Antonogiannakis E. Arthroscopic partial repair for massive rotator cuff tears: does it work? A systematic review. Sports Med Open 2019;5:13. https://doi.org/10.1186/s40798-019-0186-z
  44. Liu J, Hughes RE, O'Driscoll SW, An KN. Biomechanical effect of medial advancement of the supraspinatus tendon: a study in cadavera. J Bone Joint Surg Am 1998;80:853-9. https://doi.org/10.2106/00004623-199806000-00009
  45. Yamamoto N, Itoi E, Tuoheti Y, et al. Glenohumeral joint motion after medial shift of the attachment site of the supraspinatus tendon: a cadaveric study. J Shoulder Elbow Surg 2007;16:373-8. https://doi.org/10.1016/j.jse.2006.06.016
  46. Kim YK, Jung KH, Won JS, Cho SH. Medialized repair for retracted rotator cuff tears. J Shoulder Elbow Surg 2017;26:1432-40. https://doi.org/10.1016/j.jse.2016.11.007
  47. Lo IK, Burkhart SS. Arthroscopic repair of massive, contracted, immobile rotator cuff tears using single and double interval slides: technique and preliminary results. Arthroscopy 2004;20:22-33. https://doi.org/10.1016/j.arthro.2003.11.013
  48. Kim SJ, Kim SH, Lee SK, Seo JW, Chun YM. Arthroscopic repair of massive contracted rotator cuff tears: aggressive release with anterior and posterior interval slides do not improve cuff healing and integrity. J Bone Joint Surg Am 2013;95:1482-8. https://doi.org/10.2106/JBJS.L.01193
  49. Yokoya S, Nakamura Y, Harada Y, Ochi M, Adachi N. Outcomes of arthroscopic rotator cuff repair with muscle advancement for massive rotator cuff tears. J Shoulder Elbow Surg 2019;28:445-52. https://doi.org/10.1016/j.jse.2018.08.038
  50. Yoo JC, Ahn JH, Koh KH, Lim KS. Rotator cuff integrity after arthroscopic repair for large tears with less-than-optimal footprint coverage. Arthroscopy 2009;25:1093-100. https://doi.org/10.1016/j.arthro.2009.07.010
  51. Davidson PA, Rivenburgh DW. Rotator cuff repair tension as a determinant of functional outcome. J Shoulder Elbow Surg 2000;9:502-6. https://doi.org/10.1067/mse.2000.109385
  52. Debeyre J, Patie D, Elmelik E. Repair of ruptures of the rotator cuff of the shoulder. J Bone Joint Surg Br 1965;47:36-42. https://doi.org/10.1302/0301-620X.47B1.36
  53. Ha'eri GB, Wiley AM. Advancement of the supraspinatus muscle in the repair of ruptures of the rotator cuff. J Bone Joint Surg Am 1981;63:232-8. https://doi.org/10.2106/00004623-198163020-00008
  54. Warner JP, Krushell RJ, Masquelet A, Gerber C. Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am 1992;74:36-45. https://doi.org/10.2106/00004623-199274010-00006
  55. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R. Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 2007;23:34-42. https://doi.org/10.1016/j.arthro.2006.10.003
  56. Neviaser JS, Neviaser RJ, Neviaser TJ. The repair of chronic massive ruptures of the rotator cuff of the shoulder by use of a freezedried rotator cuff. J Bone Joint Surg Am 1978;60:681-4. https://doi.org/10.2106/00004623-197860050-00017
  57. Nasca RJ. The use of freeze-dried allografts in the management of global rotator cuff tears. Clin Orthop Relat Res 1988;218-26.
  58. Ozaki J, Fujimoto S, Masuhara K, Tamai S, Yoshimoto S. Reconstruction of chronic massive rotator cuff tears with synthetic materials. Clin Orthop Relat Res 1986;173-83.
  59. Gupta AK, Hug K, Boggess B, Gavigan M, Toth AP. Massive or 2-tendon rotator cuff tears in active patients with minimal glenohumeral arthritis: clinical and radiographic outcomes of reconstruction using dermal tissue matrix xenograft. Am J Sports Med 2013;41:872-9. https://doi.org/10.1177/0363546512475204
  60. Hohn EA, Gillette BP, Burns JP. Outcomes of arthroscopic revision rotator cuff repair with acellular human dermal matrix allograft augmentation. J Shoulder Elbow Surg 2018;27:816-23. https://doi.org/10.1016/j.jse.2017.09.026
  61. Ferguson DP, Lewington MR, Smith TD, Wong IH. Graft utilization in the augmentation of large-to-massive rotator cuff repairs: a systematic review. Am J Sports Med 2016;44:2984-92. https://doi.org/10.1177/0363546515624463
  62. Mori D, Funakoshi N, Yamashita F. Arthroscopic surgery of irreparable large or massive rotator cuff tears with low-grade fatty degeneration of the infraspinatus: patch autograft procedure versus partial repair procedure. Arthroscopy 2013;29:1911-21. https://doi.org/10.1016/j.arthro.2013.08.032
  63. Lewington MR, Ferguson DP, Smith TD, Burks R, Coady C, Wong IH. Graft utilization in the bridging reconstruction of irreparable rotator cuff tears: a systematic review. Am J Sports Med 2017;45:3149-57. https://doi.org/10.1177/0363546517694355
  64. Bond JL, Dopirak RM, Higgins J, Burns J, Snyder SJ. Arthroscopic replacement of massive, irreparable rotator cuff tears using a GraftJacket allograft: technique and preliminary results. Arthroscopy 2008;24:403-9.
  65. Lenart BA, Martens KA, Kearns KA, Gillespie RJ, Zoga AC, Williams GR. Treatment of massive and recurrent rotator cuff tears augmented with a poly-l-lactide graft, a preliminary study. J Shoulder Elbow Surg 2015;24:915-21. https://doi.org/10.1016/j.jse.2014.09.044
  66. Ono Y, Davalos Herrera DA, Woodmass JM, Boorman RS, Thornton GM, Lo IK. Graft augmentation versus bridging for large to massive rotator cuff tears: a systematic review. Arthroscopy 2017;33:673-80. https://doi.org/10.1016/j.arthro.2016.08.030
  67. Mihata T, Lee TQ, Watanabe C, et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy 2013;29:459-70. https://doi.org/10.1016/j.arthro.2012.10.022
  68. Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med 2012;40:2248-55. https://doi.org/10.1177/0363546512456195
  69. Pennington WT, Bartz BA, Pauli JM, Walker CE, Schmidt W. Arthroscopic superior capsular reconstruction with acellular dermal allograft for the treatment of massive irreparable rotator cuff tears: short-term clinical outcomes and the radiographic parameter of superior capsular distance. Arthroscopy 2018;34:1764-73. https://doi.org/10.1016/j.arthro.2018.01.009
  70. Lee SJ, Min YK. Can inadequate acromiohumeral distance improvement and poor posterior remnant tissue be the predictive factors of re-tear? Preliminary outcomes of arthroscopic superior capsular reconstruction. Knee Surg Sports Traumatol Arthrosc 2018;26:2205-13. https://doi.org/10.1007/s00167-018-4912-8
  71. Hirahara AM, Andersen WJ, Panero AJ. Superior capsular reconstruction: clinical outcomes after minimum 2-year follow- up. Am J Orthop (Belle Mead NJ) 2017;46:266-78.
  72. Sochacki KR, McCulloch PC, Lintner DM, Harris JD. Superior capsular reconstruction for massive rotator cuff tear leads to significant improvement in range of motion and clinical outcomes: a systematic review. Arthroscopy 2019;35:1269-77. https://doi.org/10.1016/j.arthro.2018.10.129
  73. Oh JH, Park MS, Rhee SM. Treatment strategy for irreparable rotator cuff tears. Clin Orthop Surg 2018;10:119-34. https://doi.org/10.4055/cios.2018.10.2.119
  74. Carver TJ, Kraeutler MJ, Smith JR, Bravman JT, McCarty EC. Nonarthroplasty surgical treatment options for massive, irreparable rotator cuff tears. Orthop J Sports Med 2018;6:2325967118805385.
  75. Werner CM, Zingg PO, Lie D, Jacob HA, Gerber C. The biomechanical role of the subscapularis in latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Shoulder Elbow Surg 2006;15:736-42. https://doi.org/10.1016/j.jse.2005.11.002
  76. Oh JH, Tilan J, Chen YJ, Chung KC, McGarry MH, Lee TQ. Biomechanical effect of latissimus dorsi tendon transfer for irreparable massive cuff tear. J Shoulder Elbow Surg 2013;22:150-7. https://doi.org/10.1016/j.jse.2012.01.022
  77. Aoki M, Okamura K, Fukushima S, Takahashi T, Ogino T. Transfer of latissimus dorsi for irreparable rotator-cuff tears. J Bone Joint Surg Br 1996;78:761-6.
  78. Gerber C, Maquieira G, Espinosa N. Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 2006;88:113-20.
  79. Grimberg J, Kany J, Valenti P, Amaravathi R, Ramalingam AT. Arthroscopic-assisted latissimus dorsi tendon transfer for irreparable posterosuperior cuff tears. Arthroscopy 2015;31:599-607. https://doi.org/10.1016/j.arthro.2014.10.005
  80. Henseler JF, Nagels J, Nelissen RG, de Groot JH. Does the latissimus dorsi tendon transfer for massive rotator cuff tears remain active postoperatively and restore active external rotation? J Shoulder Elbow Surg 2014;23:553-60. https://doi.org/10.1016/j.jse.2013.07.055
  81. Irlenbusch U, Bernsdorf M, Born S, Gansen HK, Lorenz U. Electromyographic analysis of muscle function after latissimus dorsi tendon transfer. J Shoulder Elbow Surg 2008;17:492-9. https://doi.org/10.1016/j.jse.2007.11.012
  82. Valenti P, Kalouche I, Diaz LC, Kaouar A, Kilinc A. Results of latissimus dorsi tendon transfer in primary or salvage reconstruction of irreparable rotator cuff tears. Orthop Traumatol Surg Res 2010;96:133-8. https://doi.org/10.1016/j.otsr.2009.11.003
  83. Wirth MA, Rockwood CA Jr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am 1997;79:722-31. https://doi.org/10.2106/00004623-199705000-00012
  84. Galatz LM, Connor PM, Calfee RP, Hsu JC, Yamaguchi K. Pectoralis major transfer for anterior-superior subluxation in massive rotator cuff insufficiency. J Shoulder Elbow Surg 2003;12:1-5.
  85. Lederer S, Auffarth A, Bogner R, et al. Magnetic resonance imaging-controlled results of the pectoralis major tendon transfer for irreparable anterosuperior rotator cuff tears performed with standard and modified fixation techniques. J Shoulder Elbow Surg 2011;20:1155-62. https://doi.org/10.1016/j.jse.2011.01.023
  86. Konrad GG, Sudkamp NP, Kreuz PC, Jolly JT, McMahon PJ, Debski RE. Pectoralis major tendon transfers above or underneath the conjoint tendon in subscapularis-deficient shoulders: an in vitro biomechanical analysis. J Bone Joint Surg Am 2007;89:2477-84. https://doi.org/10.2106/00004623-200711000-00020
  87. Elhassan B, Bishop A, Shin A, Spinner R. Shoulder tendon transfer options for adult patients with brachial plexus injury. J Hand Surg Am 2010;35:1211-9. https://doi.org/10.1016/j.jhsa.2010.05.001
  88. Elhassan BT, Wagner ER, Werthel JD. Outcome of lower trapezius transfer to reconstruct massive irreparable posterior-superior rotator cuff tear. J Shoulder Elbow Surg 2016;25:1346-53. https://doi.org/10.1016/j.jse.2015.12.006
  89. Reddy A, Gulotta LV, Chen X, et al. Biomechanics of lower trapezius and latissimus dorsi transfers in rotator cuff-deficient shoulders. J Shoulder Elbow Surg 2019;28:1257-64. https://doi.org/10.1016/j.jse.2018.11.066
  90. Savarese E, Romeo R. New solution for massive, irreparable rotator cuff tears: the subacromial "biodegradable spacer". Arthrosc Tech 2012;1:e69-74. https://doi.org/10.1016/j.eats.2012.02.002
  91. Senekovic V, Poberaj B, Kovacic L, Mikek M, Adar E, Dekel A. Prospective clinical study of a novel biodegradable sub-acromial spacer in treatment of massive irreparable rotator cuff tears. Eur J Orthop Surg Traumatol 2013;23:311-6.
  92. Senekovic V, Poberaj B, Kovacic L, et al. The biodegradable spacer as a novel treatment modality for massive rotator cuff tears: a prospective study with 5-year follow-up. Arch Orthop Trauma Surg 2017;137:95-103. https://doi.org/10.1007/s00402-016-2603-9
  93. Deranlot J, Herisson O, Nourissat G, et al. Arthroscopic subacromial spacer implantation in patients with massive irreparable rotator cuff tears: clinical and radiographic results of 39 retrospectives cases. Arthroscopy 2017;33:1639-44. https://doi.org/10.1016/j.arthro.2017.03.029
  94. Malahias MA, Brilakis E, Avramidis G, Antonogiannakis E. Satisfactory mid-term outcome of subacromial balloon spacer for the treatment of irreparable rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 2019;27:3890-6. https://doi.org/10.1007/s00167-019-05485-4
  95. Moon AS, Patel HA, Ithurburn MP, Brabston EW, Ponce BA, Momaya AM. Subacromial spacer implantation for the treatment of massive irreparable rotator cuff tears: a systematic review. Arthroscopy 2019;35:607-14. https://doi.org/10.1016/j.arthro.2018.08.006

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