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
Rotator Cuff Augmentation Chart 2
image of biobrace porous structure
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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.