Editorial Commentary: Collagen Bridging of Massive Rotator Cuff Tears Using Fascia Lata Autograft Could Provide a Lasting Solution.

Shoulder rotator cuff tears are ideally primarily repaired, but large and massive, chronic, and/or retracted tears result in challenges. In response, innovative solutions include superior capsular reconstruction, tendon transfer, subacromial balloon spacer placement, tuberoplasty, partial repair, and marginal convergence. A recent innovation is to use collagen tissue to bridge repair of compromised tendon. Recent research using fascia lata autograft for supraspinatus tendon reconstruction in a rat model has shown positive outcomes with structural similarity to the normal muscle-tendon interface, decreased fatty infiltration, and increased type I and III collagen, suggesting enhanced mechanical strength. In human subjects, the advantages of autograft outweigh harvest-site morbidity, noting that Dacron, Teflon, and xenograft show poor results. Ideally, a graft might be composed of a degradable scaffold, possess mechanical strength, and amalgamate stem cells, growth factors, and matrix proteins to facilitate host-tissue integration. Copyright © 2024. Published by Elsevier Inc.

Citation

In-Ho Jeon, Erica Kholinne. Editorial Commentary: Collagen Bridging of Massive Rotator Cuff Tears Using Fascia Lata Autograft Could Provide a Lasting Solution. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2024 Nov;40(11):2667-2668

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PMID: 38641016

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