Rotator Cuff Surgery for Large Tears
Dr. Getelman may recommend rotator cuff surgery for patients diagnosed with a large and complex tear of a tendon. The goal of treatment is to restore shoulder function and reduce the pain level.
A large full thickness tear is best treated soon after the injury before potential irreversible changes occur to the muscles associated with the rotator cuff. A traditional open rotator cuff surgery was once reserved for patients suffering from a large or complex tear. During this technique, an incision was created over the shoulder so the deltoid (shoulder) muscle can be detached to gain better access to the torn tendon and to perform the repair. Arthroscopic repairs are now routine for some specialists and allow for outpatient surgery, less pain and often a faster recovery. Currently, Dr. Getelman is able to perform all rotator cuff repairs arthroscopically, even for massive tears. Dermal matrix allograft, has allowed patients with very large retracted rotator cuff tears to potentially have better outcomes after surgery.
What is a Dermal Matrix Allograft for Rotator Cuff Augmentation?
A dermal matrix allograft is typically reserved for patients with large and complex rotator cuff tears. Decellularized human allografts are designed to augment the rotator cuff soft tissue defects and reduce the risk of recurrent tearing in a large retracted tear. There does not appear to be any concern for graft rejection during the healing process.
Rotator cuff surgeon, Dr. Getelman is able to utilize a dermal matrix allograft during an arthroscopic rotator cuff surgery, particularly for previously failed surgery to provide biomechanical strength to the repaired site, as well as to promote healing with a low risk of adverse reactions to the graft.
For more resources on arthroscopic rotator cuff surgery with the use of a dermal matrix allograft, please contact the Van Nuys, Westlake Village, Thousand Oaks, and Los Angeles, California orthopedic office of Dr. Mark Getelman, rotator cuff surgeon.