Partial-thickness rotator cuff tears

Partial-thickness tears can have a lasting impact on pain and shoulder function. When used in isolated bioinductive repair, the REGENETEN◊ Bioinductive Implant leads to tendon healing without the need for sutured repair;1-4 offering patients a faster recovery and return to activity than sutured repairs.4,5

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The alternative to conventional partial thickness treatments

The REGENETEN Bioinductive Implant is a scaffold made from highly purified type I collagen fibers.6 Following fixation using its efficient* and suture-free technique,7 the REGENETEN Implant is resorbed and replaced by a new layer of tendon-like tissue within 6 months3,4,8,9 increasing tendon thickness.1-4, 8-11 and creating an environment conducive to healing.3,9,12

A decade of clinical experience has demonstrated a meaningful impact on partial-thickness repair outcomes.9,10

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Step 1: REGENETEN Implant insertion


Attach the REGENETEN Implant over the bursal side of the rotator cuff using the tendon and bone anchors provided; allowing it to serve as a scaffold for new tendon-like tissue growth 2-4,14 and increasing tendon thickness.1-4,8-11



Step 2: How the REGENETEN Implant works


By supporting the body's healing response,1,2,8-10 the REGENETEN Implant is replaced by an average 2mm of new tendon-like tissue within 6 months2-4,8,9,14 creating an environment conducive to tendon healing.3,9,12



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Accelerated rehabilitation



Post-operative rehabilitation protocols are a crucial factor in helping patients get back to their lives. In a study evaluating isolated use of the REGENETEN Implant in stable full-thickness rotator cuff tears, it was shown to help patients return to work 10 weeks faster and spend less than half the average time in a sling when compared to sutured repair.*4

Evidence

Supporting information 

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Disclaimer

* Mean 13.9 minutes to implant REGENETEN Implant; negates time to perform takedown and repair.

** n=11 at five-year follow-up.

*** Study conducted in biomechanically stable full-thickness rotator cuff tears (n=60) comparing isolated REGENETENImplant use to a transosseous equivalent repair.


Post-operative care is individualized and is determined by the physician based on the patient's symptoms, injury pattern, unique patient anatomy, patient medical history, and individual treatment requirements. Not all patients will have the same surgical procedure or timelines for rehabilitation. The views and opinions expressed for postoperative care are solely those of the author(s) and do not reflect the views of Smith+Nephew.



Citations
  1. Ruiz Ibán MA, et al. J Exp Orthop. 2022;9(1):53. Published 2022 Jun 8.
  2. Camacho Chacón JA, et al. J Shoulder Elbow Surg. 2024;33(9):1894-1904.
  3. Van Kampen C, et al. Muscles Ligaments Tendons J. 2013;3(3):229-235. Published 2013 Aug 11.
  4. Arnoczky SP, et al. Arthroscopy. 2017;33(2):278-283.
  5. Bokor D, et al. Muscles Ligaments Tendons J. 2019; 9(3):338-347.
  6. Smith+Nephew 2020. Internal Report. 15009769.
  7. Ruiz Ibán MÁ, et al. Arthroscopy. 2024;40(6):1760-1773.
  8. Schlegel TF, et al. J Shoulder Elbow Surg. 2021;30(8):1938-1948.
  9. Bokor DJ, et al. Muscles Ligaments Tendons J. 2016;6(1):16-25. Published 2016 May 19.
  10. Warren JR, et al. J Shoulder Elbow Surg. 2024;33(11):2515-2529.
  11. Bokor DJ, et al. Muscles, Ligaments Tendons J. 2015;5(3):144-150.
  12. Schlegel TF, et al. J Shoulder Elbow Surg. 2018;27(2):242-251.
  13. Chahla J, et al. Arthroscopy. 2020;36(4):952-961.
  14. Camacho-Chacon JA, et al. J Exp Orthop. 2022;9(1):53.

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Post-operative rehabilitation protocols are a crucial factor in helping patients get back to their lives. In a study evaluating isolated use of the REGENETEN Implant in stable full-thickness rotator cuff tears, it was shown to help patients return to work 10 weeks faster and spend less than half the average time in a sling when compared to sutured repair.*4

  1. Arnoczky SP, et al. Arthroscopy. 2017;33(2):278-283.

Isolated bioinductive repair: Accelerated recovery and return to activity. Compared to takedown and (suture anchor) repair.

  1. Bushnell BD, Bishai SK, Krupp RJ, et al. Treatment of Partial-Thickness Rotator Cuff Tears With a Resorbable Bioinductive Bovine Collagen Implant: 1-Year Results From a Prospective Multicenter Registry. Orthop J Sports Med. 2021;9(8):23259671211027850. Published 2021 Aug 13. doi:10.1177/23259671211027850
  2. Camacho Chacón JA, Roda Rojo V, Martin Martinez A, et al. An isolated bioinductive repair vs sutured repair for full-thickness rotator cuff tears: 2-year results of a double blinded, randomized controlled trial. J Shoulder Elbow Surg. 2024;33(9):1894-1904. doi:10.1016/j.jse.2024.03.043

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