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

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dc.contributor.authorBarber, F. Alan
dc.contributor.authorHrnack, Scott A.
dc.contributor.authorSnyder, Stephen J.
dc.contributor.authorHapa, Onur
dc.date.accessioned2024-09-18T21:03:02Z
dc.date.available2024-09-18T21:03:02Z
dc.date.issued2011
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPurpose: 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: We followed up 40 patients (2 matched groups with 20 patients each) with a mean age of 57 years (range, 44 to 69 years) for a mean of 31 months (range, 24 to 44 months). Postoperative MRI studies showed persistent full-thickness tendon defects in 60% of controls (12 of 20) and 30% of PRPFM-augmented repairs (6 of 20) (P = .03). Of the control group tears measuring less than 3 cm in anteroposterior length, 50% (7 of 14) healed fully, whereas 86% of the PRPFM group tears measuring less than 3 cm in anteroposterior length (12 of 14) healed fully (P = .05). There was no significant difference between groups 1 and 2 in terms of American Shoulder and Elbow Surgeons (94.7 and 95.7, respectively; P = .35), Single Assessment Numeric Evaluation (93.7 and 94.5, respectively; P = .37), Simple Shoulder Test (11.4 and 11.3, respectively; P = .41), and Constant (84.7 and 88.1, respectively; P = .19) scores. The Rowe scores (84.8 and 94.9, respectively; P = .03) were statistically different. Conclusions: The addition of 2 PRPFM constructs sutured into a primary rotator cuff tendon repair resulted in lower retear rates identified on MRI than repairs without the constructs. Other than the Rowe scores, there was no postoperative clinical difference by use of standard outcome measures. Level of Evidence: Level III, case-control study.en_US
dc.identifier.doi10.1016/j.arthro.2011.06.010
dc.identifier.endpage1035en_US
dc.identifier.issn0749-8063
dc.identifier.issue8en_US
dc.identifier.pmid21802625en_US
dc.identifier.scopus2-s2.0-79960947167en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1029en_US
dc.identifier.urihttps://doi.org/10.1016/j.arthro.2011.06.010
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13212
dc.identifier.volume27en_US
dc.identifier.wosWOS:000293280000005en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofArthroscopy-The Journal of Arthroscopic and Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSupraspinatus Tendon Repairen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectMuscle Fatty Degenerationen_US
dc.subjectSingle-Rowen_US
dc.subjectTearsen_US
dc.subjectSutureen_US
dc.subjectIntegrityen_US
dc.subjectTherapiesen_US
dc.subjectMrien_US
dc.titleRotator Cuff Repair Healing Influenced by Platelet-Rich Plasma Construct Augmentationen_US
dc.typeArticleen_US

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