Rotator Cuff Augmentation Procedures

The Problem

Retear rates for full-thickness rotator cuff tears can range anywhere from 7.2% to 94% 1-7

Insufficient biologic healing of the native tendon tissue and mechanical failure at the suture tendon interface remain the leading causes of retear 1-7

Historically, augmentation has focused on solving for either biologic healing OR mechanical failure, and none had proven to address both sufficiently 8-10

The Solution

BioBrace® is a novel reinforced bioinductive implant developed to achieve both biologic and mechanical augmentation. Comprised of a highly porous collagen sponge with PLLA microfilaments, BioBrace® facilitates healing while providing supplemental strength through load sharing for approximately 2 years. Previous publications have demonstrated rapid cellular infiltration and new tissue regeneration by 6 weeks with cuff strength at 12 weeks as strong as native tendon. 11,12

Learn More

RoHI (Rotator Cuff Healing Index)

Since numerous factors impact the risk of failure in tendon healing, the RoHI scoring index was created to help predict rotator cuff healing.

 

Use the RoHI Calculator Now
rohi calculator
Rotator Cuff Augmentation Chart 2
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image of biobrace filled with new tissue

BioBrace® Porous Structure

42% Increase

In ACL Graft Volume14

BioBrace® Filled With New Tissue

180% Increase

In Rotator Cuff Tendon Thickness14

View the Data
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Strengthen Your Repair, Optimize Your Healing

BioBrace® Reinforced Implant

Product image of Y-Knot® PRO RC Self-Punching All-Suture Anchor
Small, Strong, and Secure

Y-Knot® PRO RC Self-Punching All-Suture Anchor

Product image of Argo Knotless® Suture Anchor
Ultimate Tension Control and Effortless Efficiency

Argo Knotless® Suture Anchor

Product image of CrossFT® and GENESYS CrossFT® Suture Anchors
Cancellous and Cortical Fixation

CrossFT® and GENESYS CrossFT® Suture Anchors

Product image of PopLok® Knotless Suture Anchors

Simple, Secure, Versatile

PopLok® Knotless Suture Anchors


Rotator Cuff Augmentation Technique Videos

Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace® and Argo Knotless® GENESYS™
Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace® and Argo Knotless® GENESYS™
Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace®, Y-Knot® PRO RC, and Argo Knotless® GENESYS™
Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace®, Y-Knot® PRO RC, and Argo Knotless® GENESYS™
Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace®, Y-Knot® PRO RC, and Argo Knotless® SP
Integrated Augmentation of Double Row Rotator Cuff Repair Using BioBrace®, Y-Knot® PRO RC, and Argo Knotless® SP
Dr. Sigman - Integrated Augmentation of a Double Row Rotator Cuff Repair Using BioBrace®
Dr. Sigman - Integrated Augmentation of a Double Row Rotator Cuff Repair Using BioBrace®
Dr. Edwards - Integrated Augmentation of a Single Row Rotator Cuff Repair Using BioBrace®
Dr. Edwards - Integrated Augmentation of a Single Row Rotator Cuff Repair Using BioBrace®
Dr. Burns - On-Lay Augmentation of a Single Row Rotator Cuff Repair Using BioBrace®
Dr. Burns - On-Lay Augmentation of a Single Row Rotator Cuff Repair Using BioBrace®

Get It in Writing

Our written surgical technique guide outlines simple, efficient ways to augment with BioBrace®. This includes on-lay augmentation of a single row repair, integrated augmentation of a double row repair, and more.

Download the Technique Guide

Related Products

TenoLok® Dual-Expanding Tenodesis Anchor
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Y-Knot® PRO Flex All-Suture Anchor
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Super Revo® FT and ThRevo® FT Suture Anchor
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Suture Passers
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1 Park JY, Lee JH, Oh KS, Chung SW, Choi Y, Yoon WY, Kim DW. Rotator cuff retear after repair surgery: comparison between experienced and inexperienced surgeons. Clin Shoulder Elb. 2021 Sep;24(3):135-140. doi: 10.5397/cise.2021.00073. Epub 2021 Sep 1. PMID: 34488293; PMCID: PMC8423529.
2 Rashid, M, C Cooper, J Cook, D Cooper, S Dakin, S Snelling, and A Carr. “Increasing Age and Tear Size Reduce Rotator Cuff Repair Healing Rate at 1 Year.” Acta Orthopaedica 88, no. 6 (2017): 606–11. https://doi.org/10.10 80/17453674.2017.1370844.
3 Neri, B, K Chan, and Y Kwon. “Management of Massive and Irreparable Rotator Cuff Tears.” Journal of Shoulder and Elbow Surgery 18, no. 5 (2009): 808–18. https://doi.org/10.1016/j.jse.2009.03.013.
4 McCarron, J. A., Derwin, K. A., Bey, M. J., Polster, J. M., Schils, J. P., Ricchetti, E. T., & Iannotti, J. P. (2013). Failure with continuity in rotator cuff repair “healing”. The American journal of sports medicine, 41(1), 134–141. https://doi.org/10.1177/0363546512459477
5 Iannotti, J. P., Deutsch, A., Green, A., Rudicel, S., Christensen, J., Marraffino, S., & Rodeo, S. (2013). Time to failure after rotator cuff repair: a prospective imaging study. The Journal of bone and joint surgery. American volume, 95(11), 965–971. https://doi.org/10.2106/JBJS.L.00708
6 Ponce, B. A., Hosemann, C. D., Raghava, P., Tate, J. P., Sheppard, E. D., & Eberhardt, A. W. (2013). A biomechanical analysis of controllable intraoperative variables affecting the strength of rotator cuff repairs at the suture-tendon interface. The American journal of sports medicine, 41(10), 2256–2261. https://doi.org/10.1177/0363546513499228
7 Longo, U.G., Carnevale, A., Piergentili, I. et al. Retear rates after rotator cuff surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord 22, 749 (2021). https://doi.org/10.1186/s12891-021-04634-6
23. https://acltear.info/acl-reinjury
8 Bushnell, B. D., Connor, P. M., Harris, H. W., Ho, C. P., Trenhaile, S. W., & Abrams, J. S. (2022). Two-year outcomes with a bioinductive collagen implant used in augmentation of arthroscopic repair of full-thickness rotator cuff tears: final results of a prospective multicenter study. Journal of shoulder and elbow surgery, 31(12), 2532–2541. https://doi.org/10.1016/j. jse.2022.05.025
9 Zhang, T., Ajayi, A., Hajjar, M., Fleckenstein, C. M., Nolan, J., & Hasan, S. S. (2023). Arthroscopic Repair of Retracted Large and Massive Rotator Cuff Tears with and without Augmentation with a Bio-Inductive Collagen Implant Reveals Substantial and Comparable Clinical Improvement. Arthroscopy: the journal of arthroscopic & related surgery, S0749-8063(23)00868-X. Advance online publication. 1.https://doi.org/10.1016/j.atro.2023.10.024
10 Snyder, S. J., Arnoczky, S. P., Bond, J. L., & Dopirak, R. (2009). Histologic evaluation of a biopsy specimen obtained 3 months after rotator cuff augmentation with GraftJacket Matrix. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 25(3), 329–333. https://doi.org/10.1016/j.arthro.2008.05.023
11 Carter, AJ, V Lovric, P Morberg, J Ott, J Bendigo, J Komenda, M Aronson, K Rocco, S Arnoczky, and WR Walsh. 2021. “Characterization of a Novel BioInductive Biocomposite Scaffold for Tendon and Ligament Healing.” Presented at the Orthopaedic Research Society (ORS) 2021 Annual Meeting; February 12-16, 2021, Virtual.
12 Walsh, WR, AJ Carter, V Lovric, J Crowley, D Wills, T Wang, G Kanski, R Stanton, S Arnoczky, and R Arciero. 2021. “TissueEngineered Augmentation of A Rotator Cuff Tendon Using A Novel Bio-Inductive Biocomposite Scaffold: A Preliminary Study In Sheep.” Presented at the Orthopaedic Research Society (ORS) 2021 Annual Meeting; February 12-16, 2021, Virtual.
13 Based on internal test data.
14 Based on preclinical animal data.