ArticleJournal of experimental orthopaedics2026
Subacromial bursa augmentation in arthroscopic rotator cuff repair: Clinical and doppler ultrasound assessment-A preliminary study.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To determine whether augmentation with the subacromial bursa influences postoperative tendon healing, particularly regarding morphology and vascularity, after arthroscopic rotator cuff repair. Methods: In this prospective comparative study (2019-2023), patients with crescent-shaped posterosuperior rotator cuff tears (SSP ± ISP, Lafosse ≤ 1), tendon retraction Patte ≤ 2, and fatty infiltration Goutallier ≤ 2 underwent double-row arthroscopic repair with (Bursa Group) or without (Control Group) bursa augmentation. Postoperative vascularity and tendon integrity were assessed via Doppler ultrasound at 3, 6, 12 and 24 weeks. Secondary outcomes included pain and functional scores. Results: Thirty patients (mean age 60) were analysed: 20 in the Bursa Group and 10 in the Control Group. The Bursa Group showed an initial increase in bursal vascularity at 3 weeks, which declined similarly in both groups thereafter. At 6 weeks, neovascularity at the tendon insertion showed an increase in the Bursa Group, while it significantly decreased in controls ( Conclusion: Clinical outcomes were similar between bursa-augmented rotator cuff repair and the control group. While bursa augmentation did not enhance neovascularization compared to controls, it was associated with better tendon thickness preservation and reduced pain, although these differences were marginal and limited to selected early follow-up time points. Level of Evidence: Level III, evidence study.
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