Augmentation Techniques for Rotator Cuff Repairs.

JBJS Rev · Apr 01 2025 · Review

Hoffmeister TM, Denard PJ, Tashjian RZ, Sethi PM

ONS Foundation for Clinical Research and Education, ONS, Greenwich, Connecticut

Shoulder & Elbow Sports Medicine

SUMMARY — THE REDUCTIONReviews rotator cuff repair augmentation options, noting they may strengthen repairs and aid healing in high-risk tears, but no consensus exists on best approach per scenario.
Abstract, as published

» Despite enhanced understanding of risk factors for failure and enhanced surgical repair techniques, the risk for failure of the rotator cuff to heal after surgery is still substantial.» A patient-specific approach to augmentation is essential, with decisions based on tear and patient characteristics.» Augmentation can improve repair strength and promote cellular infiltration, which collectively contribute to better healing outcomes.» Augmentation strategies may improve outcomes in rotator cuff repairs, particularly in high-risk cases; however, there is a lack of consensus among surgeons on the most effective strategies for each scenario.

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