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US Market Report for Rotator Cuff Repair 2017 - MedCore

US Market Report for Rotator Cuff Repair 2017 - MedCore

  • June 2017
  • 244 pages
  • ID: 3911616
  • Format: PDF
  • iData Research, Inc.

Summary

Table of Contents

General Report Contents
• Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
• Market Drivers & Limiters for each chapter segment
• Competitive Analysis for each chapter segment
• Section on recent mergers & acquisitions

Rotator cuff tears can be the result of a traumatic injury, such as falling on an outstretched hand, which is the most common type of cuff tear for younger people. However, rotator cuff tears typically arise from repetitive use in activities such as throwing a baseball or constant lifting. The muscles thin out over time and become more susceptible to injury. As a result, rotator cuff tears are much more common in the older population, especially those over the age of 40.

During an arthroscopic rotator cuff repair procedure, the tear is generally repaired using a combination of stitches and anchors, which are made of various resorbable and non-resorbable materials. The procedure has traditionally been done as a single row repair using one to two anchors; however, in the last few years there has been an increasing number of double row repair surgeries. Double row fixation uses a minimum of four anchors, is said to improve the anatomical footprint of the rotator cuff repair site and allows for improved healing. By using twice as many suture anchors, the area of the repair footprint is larger. This increases the number of fixation points within the tendon itself, which is the weakest point of the repair site and improves stability of the overall repair. However, the definition of what constitutes a double row repair has expanded since the technique’s introduction. Originally, it described two rows of fixation: one medial and one lateral. It has since evolved to include what could be described as “double-row technique,” which could involve a number of possible suture configurations. A disadvantage of double row repair is that the additional number of suture anchors can be problematic should revision surgery be required. This can be especially problematic with standard polylactic acid (PLA) polymer anchors that can be quickly absorbed by the body, leaving behind a bone void in the greater tuberosity of the humerus.

The clinical literature for the effectiveness of double row repair is mixed but few, if any, studies show that double row fixation is inferior to single row in the short-term (up to one year). Most studies show that double row repairs are either stronger or equal to traditional single row, and for some practitioners, this is not enough evidence to justify switching techniques. A shortcoming of some studies is the patient selection criteria that is necessary to achieve comparable results; the injuries tend to be moderate and of consistent size. Future studies may show that double row repair is potentially superior for larger injuries that tend to re-tear after a single row procedure. The determining factor of whether to do a single row repair versus a double row repair depends on the tear pattern and the training of the surgeon. A disadvantage is that the number of implants may overload the cortical bone of the surgical site.

All-sutures are the newest segment of the rotator cuff repair suture anchor market. Many companies have entered the market to try and capitalize on its growing popularity, with Arthrex being the latest large entrant with their FiberTak™ product.


Abstract
The rotator cuff is a combination of four muscles and their tendons that cover the head of the humerus. These include the supraspinatus, infraspinatus, teres minor and subscapularis muscles. These muscles stabilize the ball of the shoulder within the joint and enable the arm to lift and rotate. The shoulder joint allows for a great range of motion, but at the expense of stability, as it is not directly attached to the axial skeleton in the way that the lower limbs are.

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