Effect of Porcine-Derived Absorbable Patch-Type Atelocollagen for Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(21):36 Am J Sports Med . 2024 May;52(6):1439-1448.What this means for my practice?
The atelocollagen group had a significantly lower retear rate after 12 months compared to the control group. The SNQ score significantly decreased in the atelocollagen group between 6 and 12 months post-operatively. Limitations include a small sample size, a short 1-year follow-up due to funding, and technical challenges in patch placement. The patch was fully absorbed by 6 to 12 months. No link was found between tendon integrity and clinical outcomes, suggesting a need for further long-term research.
Study Summary
61 patients with rotator cuff tears were randomized to receive rotator cuff repair and insertion of patch-type atelocollagen (n=31) or conventional rotator cuff repair (n=30). The primary outcome of interest was the constant score. Secondary outcomes of interest included retair rate, visual analog score (VAS), range of motion, American shoulder and elbow surgeons score, University of California, Los Angeles score, and Korean Shoulder Score. Outcomes were assessed preoperatively and at 2, 3, 6 and 12 months postoperatively. There was a significantly lower retear rate in the atelocollagen group and the Signal noise quotient significantly decreased between 6 months and 1 year in the atelocollagen group. No significant difference in any other outcomes assessed.
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