AI Article Synopsis

  • The surgical treatment of irreparable rotator cuff tears (IRCTs) is still debated, despite advancements in therapies.
  • A biodegradable subacromial balloon spacer (InSpace) has emerged as a promising option, but inconsistent outcomes have been reported due to variations in indications and techniques.
  • This article aims to provide a clear arthroscopic method for implanting the balloon spacer and reviews existing literature on its effectiveness and results.

Article Abstract

Despite the development of various therapeutic options, surgical management of irreparable rotator cuff tears (IRCTs) remains controversial. Recently, implantation of a biodegradable subacromial balloon spacer (InSpace, Stryker Corporation; Kalamazoo, MI) has gained considerable interest for the treatment of certain IRCTs. The reported outcome of balloon implantation has not been consistent, likely due to differing indications and technical approaches. The purpose of this article is to present a reproducible arthroscopic technique for implantation of a subacromial balloon and to review the literature published to date, regarding the efficacy and outcomes of this procedure.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466141PMC
http://dx.doi.org/10.1016/j.eats.2023.03.021DOI Listing

Publication Analysis

Top Keywords

subacromial balloon
12
balloon implantation
8
rotator cuff
8
cuff tears
8
implantation
4
implantation treatment
4
treatment irreparable
4
irreparable posterosuperior
4
posterosuperior rotator
4
tears despite
4

Similar Publications

Massive rotator cuff tears are a challenge for patients and surgeons. We explored the outcomes of patients with massive rotator cuff tears primarily treated with primary cuff repair augmented with a subacromial balloon spacer. The mean age of the patients was 64.

View Article and Find Full Text PDF

"Surviving the dip" after subacromial balloon spacer implantation for massive rotator cuff tear treatment: a retrospective case series.

Eur J Orthop Surg Traumatol

November 2024

Orthopaedic Surgery Department, University of Louisville, 550 S. Jackson St., 1St Floor ACB, Louisville, KY, 40202, USA.

Background: Subacromial balloon spacer implantation (SBSI) attempts to decrease glenohumeral joint (GHJ) pain and improve function in patients with an irreparable rotator cuff tear (RCT) and minimal osteoarthritis. Between 12 and 26 weeks post-SBSI, gradual implant resorption may create a "balloon dip" that decreases GHJ function and increases pain. This retrospective cohort study attempted to delineate shoulder function, active mobility, strength, pain, and functional task impairment during the "balloon dip" period.

View Article and Find Full Text PDF

Arthroscopic Biologic Acromiotuberoplasty for Irreparable Rotator Cuff Tears.

Arthrosc Tech

October 2024

Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, Missouri, U.S.A.

Recent attention has turned toward the prevention of acromiohumeral abutment in the treatment of irreparable rotator cuff tears (IRCTs). This can be achieved through tendon transfer with a bridging allograft, superior capsular reconstruction, dermal allograft application to the greater tuberosity (biologic tuberoplasty), bursal acromial reconstruction, or subacromial balloon spacer placement. Recent literature has demonstrated increased graft thickness is associated with improved clinical outcomes after superior capsular reconstruction, suggesting a potential role of a direct bone-to-bone contact between the greater tuberosity and acromion in symptom generation in patients with IRCTs.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!