Rotation Medical Graft

The rotator cuff is composed of four tendons working together to stabilize and rotate the ball (humerus) about the socket (glenoid) (see ‘Rotator Cuff’). Those who repeatedly use their arm in an overhead motion for jobs or sports are most at risk for rotator cuff disease and the prevalence increases with age. Painful partial-thickness rotator cuff tears are often very challenging to treat.  The success of debridement (cleaning torn margins with a small shaver) may be incomplete and not very durable.  Creating a full-thickness cuff tear to then repair may sacrifice reasonably healthy cuff tissue and should be avoided if possible.  An innovative new option for treating incomplete or augmenting complete cuff tears has become available.  The Rotation Medical graft consists of an implantable device about the size of a postage stamp made from highly purified, highly porous collagen. This device is introduced arthroscopically in a minimally invasive manner over the region of your rotator cuff tear. Once in an acceptable position, it is anchored in place with small absorbable staples.  The graft dissolves slowly, and may enable the body to build new tissue on top of the injured tendon and increase the thickness of your rotator cuff tendon over time.  Pre-clinical use has demonstrated consistent generation of new tissue and a continuous increase in tendon thickness through one year after implant. MRI images obtained one year after implant has consistently shown the formation of new tendon tissue that appears to be well integrated with each patient’s rotator cuff tendon.  The average increase in each patient’s tendon thickness at the location of the scaffold implant was measured to be 64%, however, the results may vary. Discuss your rotator cuff problem with Dr. Angelo to see if the Rotation Medical Graft may be an attractive option for you.

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