Key result
Porcine xenograft dermal onlay augmentation of rotator cuff repair resulted in a higher retear rate and more adverse events (60% vs 40%) compared to controls.
Why the study?
Does porcine xenograft dermal onlay augmentation improve cuff integrity or clinical outcomes in patients undergoing rotator cuff repair?
Does porcine xenograft dermal onlay augmentation improve cuff integrity or clinical outcomes in patients undergoing rotator cuff repair?
Porcine xenograft dermal onlay augmentation for rotator cuff repair is not recommended due to higher retear rates and adverse events compared to standard repair.
Porcine xenograft dermal onlay augmentation of rotator cuff repair does not provide improved cuff integrity or provide better clinical outcomes. The retear rate was actually higher in repairs augmented with a porcine xenograft than the control group. Adverse events occurred in 60% of the xenograft patients compared with 40% of the controls. The use of liquid platelet-rich plasma had no discernible impact. A total of 85% of the observed failures with the suture-bridging double-row repair were at the medial cuff (Cho type 2).
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F. Alan Barber (2018) conducted an editorial in Rotator cuff repair. Porcine xenograft dermal onlay augmentation vs. Control group was evaluated on Adverse events. Porcine xenograft dermal onlay augmentation of rotator cuff repair resulted in a higher retear rate and more adverse events (60% vs 40%) compared to controls.
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