Biologic and synthetic grafts in the reconstruction of large to massive rotator cuff tears

Robert J. Gillespie, Derrick M. Knapik, Ozan Akkus

Research output: Contribution to journalReview articlepeer-review

44 Scopus citations


Rotator cuff injuries are common in both young and elderly patients. Despite improvements in instrumentation and surgical techniques, the failure rates following tendon reconstruction remain unacceptably high. To improve outcomes, graft patches have been developed to provide mechanical strength and to furnish a scaffold for biologic growth across the delicate tendon-bone junction. Although no patch effectively re-creates the structured, highly organized system of prenatal tendon development, augmenting rotator cuff repair may help restore native tendon-to-bone attachment while reproducing the mechanical and biologic properties of native tendon. An understanding of biologically and synthetically derived grafts, along with knowledge of the preliminary data available regarding their combined use with growth factors and stem cells, is needed to improve management and treatment outcomes. The current literature has not been consistent in showing patch augmentation to be beneficial over traditional repair, but novel scaffolding materials may help facilitate rotator cuff tendon repair that is histologically and biomechanically comparable to native tendon.

Original languageEnglish
Pages (from-to)823-828
Number of pages6
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number12
StatePublished - Dec 1 2016


  • grafts
  • repair
  • rotator cuff
  • rotator cuff tears
  • scaffolds
  • xenograft


Dive into the research topics of 'Biologic and synthetic grafts in the reconstruction of large to massive rotator cuff tears'. Together they form a unique fingerprint.

Cite this