Bridging Allograft Reconstruction for Chronic, Massive Rotator Cuff Tears .
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Bridging Allograft Reconstruction Is Superior to Maximal Repair for the Treatment of Chronic, Massive Rotator Cuff Tears: Results of a Prospective, Randomized Controlled Trial
Am J Sports Med . 2021 Oct;49(12):3173-3183.Thirty patients undergoing surgical management for chronic, massive rotator cuff tears were randomized to receive debridement and maximal repair (n=15) or reconstruction with a bridging dermal allograft (n=15). The primary outcome of interest was the Western Ontario Rotator Cuff (WORC) index measured at 2 years postoperatively. Secondary outcomes of interest included the Disabilities of the Arm, Shoulder and Hand (DASH) score, healing rates, progression of rotator cuff arthropathy and postoperative acromiohumeral distance. The bridging allograft group demonstrated significantly greater improvements in WORC and DASH scores. There was an increased rate of progression to rotator cuff arthropathy in the repair group compared to the allograft group.
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