Combination of arthroscopic biologic tuberoplasty and bursal acromial reconstruction

Joong-Bae Seo; Jae-Wook Jung; Jae-Sung Yoo

doi:10.1016/j.jor.2023.10.004

Combination of arthroscopic biologic tuberoplasty and bursal acromial reconstruction

J Orthop. 2023 Oct 16:51:1-6. doi: 10.1016/j.jor.2023.10.004. eCollection 2024 May.

Authors

Joong-Bae Seo¹, Jae-Wook Jung¹, Jae-Sung Yoo¹

Affiliation

¹ Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, South Korea.

PMID: 38299060
PMCID: PMC10825636 (available on 2025-05-01)
DOI: 10.1016/j.jor.2023.10.004

Abstract

Background: Recently, among the various method for irreparable rotator cuff tears, the "tension-free allodermis graft technique" has been introduced as a method for arthroscopic biologic tuberoplasty(ABT) and bursal acromial reconstruction(BAR).The objective was to analyze the outcomes of ABT and BAR combination surgical technique.

Methods: Eighteen cases who underwent simultaneous ABT and BAR procedures were retrospectively recruited. Before the surgery and at one year post-surgery, the researchers assessed the patients' Visual Analog Scale(VAS), American Shoulder and Elbow Surgeons(ASES) scores, pain scores, range of motion(ROM), retear, and acromiohumeral distance (AHD).

Results: One year post-surgery, both the VAS pain scores, ASES scores, and ROM showed statistically significant improvement compared to before the surgery. Upon reviewing the radiological results, the AHD significantly improved from 4.3 ± 4.1 mm before surgery to 9.2 ± 1.9 mm at one year post-surgery (p < 0.001). Moreover, in the one year follow-up, there was no observed failure of the allodermis graft in any of the cases.

Conclusion: The combination of ABT and BAR demonstrated significantly improved clinical outcomes after surgery, showing a substantial increase in AHD and preventing graft failure effectively.

Keywords: Acromiohumeral distance; Reconstruction; Retear; Rotator cuff tear.