Surgical Technique for Arthroscopic Rotator Cuff Repair With All-Polyester Patch Augmentation.
- 1Department of Orthopedic Surgery New England Baptist Hospital Boston Massachusetts U.S.A.
- 2Arthrex, Inc. Naples Florida U.S.A.
Abstract
Rotator cuff repair failure remains a challenging problem, particularly in the setting of poor tendon quality or revision surgery. Patch augmentation has been introduced to reinforce repair constructs and improve healing rates, but many biologic and synthetic materials introduce drawbacks such as inflammatory response, increased bulk, donor-site mobility, or prolonged preparation time. The SuturePatch (Arthrex, Naples, FL) is a recently Food and Drug Administration-approved novel, low-profile, all-polyester suture-based scaffold designed for direct incorporation into the repair construct to provide immediate load-sharing support. Data suggests that the woven all-suture structural makeup provides substantial load-sharing capabilities and resistance to deformation, supporting its use as both a mechanical reinforcement and potential biologic scaffold at the tendon-bone interface. This article describes a reproducible arthroscopic technique for rotator cuff repair with biceps tenodesis and SuturePatch augmentation. This technique offers an approach that provides mechanical reinforcement at time 0 while maintaining a low profile and avoiding the limitations of historic graft-based augmentation.
Related
- Biological Augmentation of Arthroscopic Partial‐Thickness Bursal‐Sided Rotator Cuff Repair Using Minced Autologous Glenohumeral Ligament Tissue Particles
- Arthroscopic “Triple‐Beam” Biologic Augmentation of Massive Rotator Cuff Tears Using the Combined Long Head of Biceps Transposition and Autologous Palmaris Longus Tendon Bridging
- Arthroscopic Technique for Anterior Calcaneal Process Avulsion Fractures and Bifurcate Ligament Injuries Using Suture Tape Augmentation.
- Effect of Hand Grip Exercise on Rotator Cuff Strength and Shoulder Function Recovery after Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Trial
- Geometric Tear Configuration Influences Intraoperative Reparability after Arthroscopic Rotator Cuff Repair
BibTeX
@article{fliegel2026surgical,
title = {{Surgical Technique for Arthroscopic Rotator Cuff Repair With All-Polyester Patch Augmentation.}},
author = {Brian Fliegel and Kaley Beall and Manik Dham and Sarav Shah},
journal = {Arthroscopy techniques},
year = {2026},
month = oct,
doi = {10.1002/atn2.70322},
url = {https://europepmc.org/article/MED/42923829},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Surgical Technique for Arthroscopic Rotator Cuff Repair With All-Polyester Patch Augmentation.
AU - Brian Fliegel
AU - Kaley Beall
AU - Manik Dham
AU - Sarav Shah
PY - 2026
DA - 2026/10/22
JO - Arthroscopy techniques
DO - 10.1002/atn2.70322
UR - https://europepmc.org/article/MED/42923829
AB - Rotator cuff repair failure remains a challenging problem, particularly in the setting of poor tendon quality or revision surgery. Patch augmentation has been introduced to reinforce repair constructs and improve healing rates, but many biologic and synthetic materials introduce drawbacks such as inflammatory response, increased bulk, donor-site mobility, or prolonged preparation time. The SuturePatch (Arthrex, Naples, FL) is a recently Food and Drug Administration-approved novel, low-profile, all-polyester suture-based scaffold designed for direct incorporation into the repair construct to provide immediate load-sharing support. Data suggests that the woven all-suture structural makeup provides substantial load-sharing capabilities and resistance to deformation, supporting its use as both a mechanical reinforcement and potential biologic scaffold at the tendon-bone interface. This article describes a reproducible arthroscopic technique for rotator cuff repair with biceps tenodesis and SuturePatch augmentation. This technique offers an approach that provides mechanical reinforcement at time 0 while maintaining a low profile and avoiding the limitations of historic graft-based augmentation.
SN - 2212-6287
ER -