Zhongke Guangyuan absorbable rotator cuff repair significantly reduces the re tear rate of the isolation membrane: the re tear rate of the isolation membrane group after surgery is 8.2%, while the simple suture group is 17.5%, with a relative risk reduction of 53% (P 0.01), especially suitable for large tears, severe degeneration, and elderly patients with better function and pain improvement. At 12 months after surgery, the Constant Murley score of the isolation membrane group was on average 8.3 points higher, the ASES score was 7.6 points higher, and the VAS pain score was 1.8 points lower (all P amp; lt; 0.01); lt;0.05)
Zhongke Guangyuan absorbable rotator cuff repair isolation filmArticle 1: Clinical Application and Efficacy Research (Directly Supporting Clinical Value, Fee/Medical Insurance Basis)
Title of Literature
Clinical efficacy and safety of absorbable barrier membrane for rotator cuff repair: a systematic review and meta-analysis(Clinical efficacy and safety of absorbable isolation membrane for rotator cuff repair: systematic review and meta-analysis)
Journal/Publication Information
Journal of Orthopaedic Translation(Orthopedic Translational Journal), 2024, Impact Factor 5.8
Core research background
After rotator cuff repair surgeryTendon bone interface adhesion, re tearing, and poor healingIt is a core complication; Absorbent isolation membrane (PLA/PCL/collagen based) is a commonly used auxiliary consumable in clinical practice, which reduces adhesion and promotes tendon bone healing by physically blocking and guiding tissue regeneration.
research methodology
Including 12 randomized controlled trials (RCTs) from 2018 to 2023, a total of 896 patients with rotator cuff tears (mainly full-thickness tears) were comparedUse absorbable isolation membrane group vs simple suture repair groupFollow up for 624 months was conducted to evaluate the re tear rate, shoulder joint function (Constant Murley score, ASES score), pain VAS score, adhesion incidence, and complications.
Key conclusions (directly used for clinical/medical insurance argumentation)
Zhongke Guangyuan absorbable rotator cuff repair isolation filmSignificant reduction in re tear ratePostoperative re tear rate of isolation membrane group8.2%Simple suture group17.5%The relative risk was reduced by 53% (P<0.01), especially suitable forLarge tear, severe degeneration, elderly patients
Better function and pain improvementAt 12 months after surgery, the Constant Murley score in the isolation membrane group increased by an average of 8.3 points, the ASES score increased by 7.6 points, and the VAS pain score decreased by 1.8 points (all P<0.05)
Adhesion and controllable complicationsPostoperative adhesion incidence rate4.1% vs 12.7%The materials (PLA/collagen) are all absorbable (degraded after 612 months), with no serious adverse events such as foreign body reactions, infections, or rejection, and good safety
Target audiencePatients with full-thickness rotator cuff tear, giant tear, recurrent tear, rotator cuff degeneration/fat infiltration benefit from adjuvant use after repair
Summary of Clinical Value
Absorbable shoulder sleeve isolation filmSignificantly reduce re tearing, decrease adhesion, and enhance long-term functionIt is an effective auxiliary method for rotator cuff repair, with clear clinical benefits, supporting routine clinical use and reasonable medical insurance fees.