Authors
Peter Boufadel, Mohammad Daher, James R Satalich, Favian Su, Adam Lindsay, Adam Z Khan, Eric M Black, Joseph A Abboud, Hafiz F Kassam
Published in
The Journal of bone and joint surgery. American volume. Oct 05, 2026. Epub Oct 05, 2026.
Abstract
➢ Biologic and synthetic augmentation grafts have been developed to enhance both the mechanical integrity of rotator cuff repairs and the biologic healing at the tendon-bone interface, particularly in the setting of compromised tissue quality.➢ Xenograft augmentation is no longer favored because of inconsistent clinical outcomes, inflammatory responses, and a lack of supportive high-quality evidence.➢ Allograft and synthetic graft augmentation may provide benefit in selected cases; however, optimal indications, implant selection, and long-term outcomes remain incompletely defined.➢ Bioinductive collagen implants currently demonstrate the highest level of clinical evidence, with Level-I studies supporting improved structural healing and reduced retear rates in appropriately selected patients.➢ The long head of the biceps tendon autograft represents a viable, cost-effective biologic augmentation option when available, providing favorable biologic compatibility and surgical versatility.
PMID:
42832585
Bibliographic data and abstract were imported from PubMed on 06 Oct 2026.
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