Histological incorporation of acellular dermal matrix in the failed superior capsule reconstruction of the shoulder.
Identifieur interne : 000909 ( Main/Exploration ); précédent : 000908; suivant : 000910Histological incorporation of acellular dermal matrix in the failed superior capsule reconstruction of the shoulder.
Auteurs : Matthew J. Ravenscroft [Royaume-Uni] ; James A. Riley [Royaume-Uni] ; Barnes W. Morgan [Royaume-Uni] ; Dilraj S. Sandher [Royaume-Uni] ; Saurabh S. Odak [Royaume-Uni] ; Preethi Joseph [Royaume-Uni]Source :
- Journal of experimental orthopaedics [ 2197-1153 ] ; 2019.
Abstract
BACKGROUND
Superior capsule reconstruction addresses massive rotator cuff tears using allografts and aims to restore the natural superior constraint of the shoulder and therefore shoulder biomechanics and function. There is no evidence relating to the histological incorporation of these grafts.
METHODS
27 superior capsule reconstructions were performed between June 2016 and November 2017. Follow-up was with clinical assessment and Magnetic Resonance Imaging, to identify graft failure. Reverse total shoulder replacement was offered for ruptured grafts and the graft was sent for histological analysis along with the footprint of graft attachment where possible.
RESULTS
Five patients (18.5%) had evidence of graft failure, three of whom (11.1%) underwent revision procedures. Of the five ruptures, four failed at the glenoid insertion, and one was an intra-substance tear. Histological analysis showed extensive fibroblastic infiltration. The intra-substance tear showed some vascularity at the medial and lateral ends, and one of the glenoid pull-outs demonstrated micro-calcification and osteoid formation. There was no evidence of in-growth into the bone.
DISCUSSION
An inflammatory response to the grafts was seen, with neo-vascularisation, and micro-calcification observed. These findings are from ruptured grafts, so may not represent the characteristics of those which have not ruptured. Further evidence from explanted intact grafts could be gained to improve our understanding of its incorporation.
LEVEL OF EVIDENCE
Level IV evidence.
DOI: 10.1186/s40634-019-0189-1
PubMed: 31129749
PubMed Central: PMC6535153
Affiliations:
Links toward previous steps (curation, corpus...)
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Riley</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedics Specialist Registrar, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK. jim.riley@nhs.net.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedics Specialist Registrar, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Morgan, Barnes W" sort="Morgan, Barnes W" uniqKey="Morgan B" first="Barnes W" last="Morgan">Barnes W. Morgan</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Sandher, Dilraj S" sort="Sandher, Dilraj S" uniqKey="Sandher D" first="Dilraj S" last="Sandher">Dilraj S. Sandher</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Odak, Saurabh S" sort="Odak, Saurabh S" uniqKey="Odak S" first="Saurabh S" last="Odak">Saurabh S. Odak</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Joseph, Preethi" sort="Joseph, Preethi" uniqKey="Joseph P" first="Preethi" last="Joseph">Preethi Joseph</name><affiliation wicri:level="1"><nlm:affiliation>Histopathologist, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Histopathologist, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31129749</idno><idno type="pmid">31129749</idno><idno type="doi">10.1186/s40634-019-0189-1</idno><idno type="pmc">PMC6535153</idno><idno type="wicri:Area/Main/Corpus">000880</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000880</idno><idno type="wicri:Area/Main/Curation">000880</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000880</idno><idno type="wicri:Area/Main/Exploration">000880</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Histological incorporation of acellular dermal matrix in the failed superior capsule reconstruction of the shoulder.</title><author><name sortKey="Ravenscroft, Matthew J" sort="Ravenscroft, Matthew J" uniqKey="Ravenscroft M" first="Matthew J" last="Ravenscroft">Matthew J. Ravenscroft</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Riley, James A" sort="Riley, James A" uniqKey="Riley J" first="James A" last="Riley">James A. Riley</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedics Specialist Registrar, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK. jim.riley@nhs.net.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedics Specialist Registrar, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Morgan, Barnes W" sort="Morgan, Barnes W" uniqKey="Morgan B" first="Barnes W" last="Morgan">Barnes W. Morgan</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Sandher, Dilraj S" sort="Sandher, Dilraj S" uniqKey="Sandher D" first="Dilraj S" last="Sandher">Dilraj S. Sandher</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Odak, Saurabh S" sort="Odak, Saurabh S" uniqKey="Odak S" first="Saurabh S" last="Odak">Saurabh S. Odak</name><affiliation wicri:level="1"><nlm:affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author><author><name sortKey="Joseph, Preethi" sort="Joseph, Preethi" uniqKey="Joseph P" first="Preethi" last="Joseph">Preethi Joseph</name><affiliation wicri:level="1"><nlm:affiliation>Histopathologist, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Histopathologist, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE</wicri:regionArea><wicri:noRegion>SK2 7JE</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of experimental orthopaedics</title><idno type="ISSN">2197-1153</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Superior capsule reconstruction addresses massive rotator cuff tears using allografts and aims to restore the natural superior constraint of the shoulder and therefore shoulder biomechanics and function. There is no evidence relating to the histological incorporation of these grafts.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>27 superior capsule reconstructions were performed between June 2016 and November 2017. Follow-up was with clinical assessment and Magnetic Resonance Imaging, to identify graft failure. Reverse total shoulder replacement was offered for ruptured grafts and the graft was sent for histological analysis along with the footprint of graft attachment where possible.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Five patients (18.5%) had evidence of graft failure, three of whom (11.1%) underwent revision procedures. Of the five ruptures, four failed at the glenoid insertion, and one was an intra-substance tear. Histological analysis showed extensive fibroblastic infiltration. The intra-substance tear showed some vascularity at the medial and lateral ends, and one of the glenoid pull-outs demonstrated micro-calcification and osteoid formation. There was no evidence of in-growth into the bone.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>An inflammatory response to the grafts was seen, with neo-vascularisation, and micro-calcification observed. These findings are from ruptured grafts, so may not represent the characteristics of those which have not ruptured. Further evidence from explanted intact grafts could be gained to improve our understanding of its incorporation.</p></div><div type="abstract" xml:lang="en"><p><b>LEVEL OF EVIDENCE</b></p><p>Level IV evidence.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">31129749</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2197-1153</ISSN><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>May</Month><Day>25</Day></PubDate></JournalIssue><Title>Journal of experimental orthopaedics</Title><ISOAbbreviation>J Exp Orthop</ISOAbbreviation></Journal><ArticleTitle>Histological incorporation of acellular dermal matrix in the failed superior capsule reconstruction of the shoulder.</ArticleTitle><Pagination><MedlinePgn>21</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40634-019-0189-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Superior capsule reconstruction addresses massive rotator cuff tears using allografts and aims to restore the natural superior constraint of the shoulder and therefore shoulder biomechanics and function. There is no evidence relating to the histological incorporation of these grafts.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">27 superior capsule reconstructions were performed between June 2016 and November 2017. Follow-up was with clinical assessment and Magnetic Resonance Imaging, to identify graft failure. Reverse total shoulder replacement was offered for ruptured grafts and the graft was sent for histological analysis along with the footprint of graft attachment where possible.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Five patients (18.5%) had evidence of graft failure, three of whom (11.1%) underwent revision procedures. Of the five ruptures, four failed at the glenoid insertion, and one was an intra-substance tear. Histological analysis showed extensive fibroblastic infiltration. The intra-substance tear showed some vascularity at the medial and lateral ends, and one of the glenoid pull-outs demonstrated micro-calcification and osteoid formation. There was no evidence of in-growth into the bone.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">An inflammatory response to the grafts was seen, with neo-vascularisation, and micro-calcification observed. These findings are from ruptured grafts, so may not represent the characteristics of those which have not ruptured. Further evidence from explanted intact grafts could be gained to improve our understanding of its incorporation.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">Level IV evidence.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ravenscroft</LastName><ForeName>Matthew J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Riley</LastName><ForeName>James A</ForeName><Initials>JA</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-5516-8754</Identifier><AffiliationInfo><Affiliation>Trauma and Orthopaedics Specialist Registrar, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK. jim.riley@nhs.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morgan</LastName><ForeName>Barnes W</ForeName><Initials>BW</Initials><AffiliationInfo><Affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sandher</LastName><ForeName>Dilraj S</ForeName><Initials>DS</Initials><AffiliationInfo><Affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Odak</LastName><ForeName>Saurabh S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Trauma and Orthopaedic Surgeon, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joseph</LastName><ForeName>Preethi</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Histopathologist, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, SK2 7JE, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>05</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>J Exp Orthop</MedlineTA><NlmUniqueID>101653750</NlmUniqueID><ISSNLinking>2197-1153</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Graft failure</Keyword><Keyword MajorTopicYN="N">Histology</Keyword><Keyword MajorTopicYN="N">Human acellular dermal allograft</Keyword><Keyword MajorTopicYN="N">Rotator cuff tear</Keyword><Keyword MajorTopicYN="N">Superior capsule reconstruction</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>12</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>05</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>5</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>5</Month><Day>28</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31129749</ArticleId><ArticleId IdType="doi">10.1186/s40634-019-0189-1</ArticleId><ArticleId IdType="pii">10.1186/s40634-019-0189-1</ArticleId><ArticleId IdType="pmc">PMC6535153</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Shoulder Elbow Surg. 2007 Sep-Oct;16(5 Suppl):S171-8</Citation><ArticleIdList><ArticleId IdType="pubmed">17560804</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Sports Med. 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IdType="pubmed">30080429</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Ravenscroft, Matthew J" sort="Ravenscroft, Matthew J" uniqKey="Ravenscroft M" first="Matthew J" last="Ravenscroft">Matthew J. Ravenscroft</name></noRegion><name sortKey="Joseph, Preethi" sort="Joseph, Preethi" uniqKey="Joseph P" first="Preethi" last="Joseph">Preethi Joseph</name><name sortKey="Morgan, Barnes W" sort="Morgan, Barnes W" uniqKey="Morgan B" first="Barnes W" last="Morgan">Barnes W. Morgan</name><name sortKey="Odak, Saurabh S" sort="Odak, Saurabh S" uniqKey="Odak S" first="Saurabh S" last="Odak">Saurabh S. Odak</name><name sortKey="Riley, James A" sort="Riley, James A" uniqKey="Riley J" first="James A" last="Riley">James A. Riley</name><name sortKey="Sandher, Dilraj S" sort="Sandher, Dilraj S" uniqKey="Sandher D" first="Dilraj S" last="Sandher">Dilraj S. Sandher</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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