Superior Capsular Reconstruction (SCR)
Reconstruction of the superior capsule using ArthroFlex to provide a supplemental covering to the glenohumeral joint which keeps the humeral head centered on the glenoid, thereby restoring normal joint biomechanics and stability.
Why perform SCR?
- Restores glenohumeral joint stability, allowing return of function and ROM1-4
- Reduces pain and improves patient-reported outcome scores1-4
- Increases acromiohumeral distance3
- Allograft tissue that has been shown to incorporate versus metal and plastic solutions5
- Minimally invasive – can be performed arthroscopically1-4
- Viable alternative to arthroplasty1,3,4
Why Use ArthroFlex SCR?
- ArthroFlex is the only truly decellularized ADM with published clinical results for SCR
- ArthroFlex SCR has been shown to be clinically effective1-4,6
- Shown to restore anatomy and biomechanical properties1-4,6
- Shown to revascularize, remodel and incorporate5,13
- Excellent ultimate load and suture retention strength5,13
- Ready-to-use and excellent handling
Download the ArthroFlex SCR brochure.
References
1. Adams, CR, Denard PJ, Brady PC, Hartzler RU & Burkhart SS. The Arthroscopic Superior Capsular Reconstruction. AJO. 2016 Jul/August: 45(5):320-4.
2. Tokish JT & Beicker C. Superior Capsule Reconstruction Technique Using an Acellular Dermal Allograft. Arthroscopy Techniques. 2015 Dec 4(6):e833-9.
3. Hirahara AM, Anderson WJ & Panero AJ. Superior Capsular Reconstruction: Clinical Outcomes After Minimum 2-Year Follow-Up. AJO. 2017 Nov/Dec: 46(6):266-272,278.
4. Denard PJ, Brady PC, Adams CR, Tokish JM, & Burkhart SS. Preliminary Results of Arthroscopic Superior Capsule Reconstruction with Dermal Allograft. Arthroscopy. 2018 Jan:34(1):93-99.
5. Date on file at LifeNet Health: 68-20-168, 65-0272.
6. Pennington WT, Bartz BA, Pauli JM, Walker CE, Schmidt W. Arthroscopic Superior Capsular Reconstruction with Acellular Dermal Allograft for the Treatment of Massive Irreparable Rotator Cuff Tears: Short-Term Clinical Outcomes and the Radiographic Parameter of Superior Capsular Distance. Arthroscopy 2018. Feb 15
7. Crapo PM, Gilbert TW & Badylak SF. An overview of tissue and whole organ decellularization processes. Biomaterials. 2011. April;32(12):3233-3243.
8. Schoepg, C. The Tutoplast® Process: A Review of Efficacy. 4627 R0 02-28-08
9. Ross A & Kearney JN. The measurement of water activity in allogeneic skin grafts preserved using high concentration glycerol or propylene glycol. Cell and Tissue Banking. 2004. Jan; 5:37-44.
10. Badylak SF, Freytes DO & Gilbert TW. Extracellular matrix as a biological scaffold material: Structure and function. Acta Biomaterialia. 2009. Jan; 5(1):1-13.
11. Ketchedjian A, Jones AL, Krueger P, Robinson E, Crouch K, Wolfinbarger Jr L, Hopkins R. Recellularization of Decllularized Allograft Scaffolds in Ovine Great Vessel Reconstructions. Ann Thorac Surg. 2005;79:888-96.
12. Gilpin A and Yang Y. Decellularization Strategies for Regenerative Medicine: From Processing Techniques to Applications. Biomed Res Int. 2017: PMC5429943.
13. Moore MA, Samsell B, Wallis G, Triplett, S, Chen S, Linthurst Jones A, Quiz X. “Decellularization of Human Dermis Using Non-Denaturing Anionic Detergent and Endonuclease: A Review.” Journal of Cell and Tissue Banking.
14. Choe JM, Bell T (2001) Genetic material is present in cadaveric dermis and cadaveric fascia lata. J Urol 166:122–124
15. Derwin KA, Baker AR, Spragg RK, Leigh DR, Ianotti JP. Biomechanical, Biochemical, and Cellular Properties Commercial Extracellular Matrix Scaffolds for Rotator Cuff Tendon Repair. J Bone Joint Surg Am. 2006;88:2665-2672.