Introduction

Rotator cuff injuries are a common source of pain and discomfort for many individuals. Whether caused by sports-related trauma or general wear and tear, these injuries can significantly impact one’s quality of life. Traditional rotator cuff repair methods often involve sutures and anchors, which can be invasive and may lead to complications.

Fortunately, the field of orthopaedics is continually advancing, and one of the most exciting innovations in recent years is the Xiros Pitch-Patch for rotator cuff repair. In this article, we explore this groundbreaking technology and how it’s changing the game in the world of orthopaedic surgery.

Understanding the Rotator Cuff

Before delving into the Pitch-Patch, let’s briefly review what the rotator cuff is and why its proper function is crucial. The rotator cuff is a group of muscles and tendons in the shoulder that plays a vital role in maintaining the shoulder’s stability and enabling a wide range of arm movements. When these muscles and tendons are damaged, it can result in pain, weakness, and limited mobility. Rotator cuff injuries are often seen in athletes, older adults, and those engaged in repetitive overhead activities.

The Challenges of Rotator Cuff Repair

Traditional surgical methods for rotator cuff repair involve suturing the torn tendons back to the bone using anchors and sutures. While these methods have proven effective, they do have their drawbacks:

1. Invasiveness: Traditional surgery requires large incisions, which can lead to more pain, longer recovery times, and an increased risk of infection.

2. Risk of Re-tearing: The repaired tendons can sometimes re-tear, leading to the need for additional surgeries.

3. Prolonged Rehabilitation: Recovery and rehabilitation can be lengthy and challenging.

The Pitch-Patch Solution

The Pitch-Patch was devised by Dr. Med. Jan Leuzinger of the etzelclinic, Pfäffikon, Switzerland with first implantations in 2012. As rotator cuff (RC) repair techniques developed, with improved anchors, high strength sutures and effective suture passing devices, RC repair still suffered from reported high re-tear rates. ^{[1, 2, 3]}

The remaining weak link was the quality of the native tissue available for repair. A number of patch techniques and materials have been devised for the repair of massive RC tears. Dr Leuzinger proposed a poly-ethylene terephthalate (polyester) anatomically shaped and reinforced device, that would offer immediate strength and allow a standardised rehabilitation programme determined by the underlying tissue repair and not modified due to the patch itself.

A study published in the JSES in 2019 concluded for the Pitch-Patch; “patch augmentation in massive RC reconstruction leads to a substantially lower retear rate.” ^[4]

Key Features of the Pitch-Patch

The Pitch-Patch is a single use implantable device constructed from a warp knitted fabric with integral eyelets. The device is indicated for patients requiring reinforcement of the rotator cuff where either the tear cannot be completely repaired using normal methods and/or the quality of the soft tissue is poor.

• Flexible: Suitable for arthroscopic or open technique.

• Strong: A very high average strength of over 400 N when fully sutured along the medial edge (3 sutures) for the standard patch ^[5].

• Tissue quality: Indicated for patients where either the rotator cuff tear cannot be completely repaired using normal methods and/or the quality of the soft tissue is poor.

• Tissue integration: The warp knitted structure allows a natural body response whereby native tissue integrates into the device.

• Anatomical design: Designed to fit the anatomy, the Pitch-Patch is available in two sizes to cover different tear sizes of the rotator cuff.

In the world of orthopaedic surgery, innovations like the Xiros Pitch-Patch are changing the landscape of rotator cuff repair. Patients suffering from rotator cuff injuries can now benefit from a less invasive, faster, and more effective treatment option. As technology continues to advance, we can expect further breakthroughs that will improve the quality of care and outcomes for orthopaedic patients.

If you have patients with a rotator cuff injury, consider discussing the benefits of the Pitch-Patch with your local Xiros representative. It may be the key to a quicker, more successful recovery and a return to a pain-free, active lifestyle for your patients.

Find out more

Contact us at xiros.co.uk/contact-us/

Sources

1. Chung SW, Kim JY, Kim MH, Kim SH, Oh JH. Arthroscopic Repair of Massive Rotator Cuff Tears: Outcome and Analysis of Factors Associated With Healing Failure or Poor Postoperative Function. The American Journal of Sports Medicine. 2013;41(7):1674-1683. doi:10.1177/0363546513485719 
2. Kim JR, Cho YS, Ryu KJ, Kim JH. Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging. Am J Sports Med. 2012 Apr;40(4):786- 93. doi: 10.1177/0363546511434546. Epub 2012 Feb 3. PMID: 22307079.
3. Choi S, Kim MK, Kim GM, Roh YH, Hwang IK, Kang H. Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. J Shoulder Elbow Surg. 2014 Nov;23(11):1675-81. doi: 10.1016/j.jse.2014.02.021. Epub 2014 May 24. PMID: 24862247.
4. Smolen D, Haffner N, Mittermayr R, Hess F, Sternberg C, Leuzinger J. Application of a new polyester patch in arthroscopic massive rotator cuff repair-a prospective cohort study. J Shoulder Elbow Surg. 2020 Jan;29(1):e11-e21. doi: 10.1016/j.jse.2019.05.015. Epub 2019 Aug 9. PMID: 31405714.
5. Xiros, Data on file

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Introduction

In the realm of orthopaedic surgery, advancements in technology and materials have continually reshaped the landscape, leading to improved patient outcomes and shorter recovery times. One such groundbreaking innovation is Xiros’ Infinity-Lock Tape used for Medial Patellofemoral Ligament Reconstruction. This revolutionary product is transforming the way surgeons address patellar instability and knee injuries.

In this article, we’ll explore the key features of this cutting-edge product and the impact it’s making in the field of knee surgery.

Understanding Patellar Instability

Patellar instability is a common orthopaedic problem that affects people of all ages, from athletes to the general population. It often occurs when the patella (kneecap) dislocates or subluxes, leading to pain, swelling, and impaired knee function. MPFL Reconstruction is a surgical procedure designed to address this issue by stabilising the patella, preventing further dislocations, and promoting the healing of damaged ligaments.

Infinity-Lock Tape: The Game-Changer

Xiros has gained prominence in the medical industry for its innovative approach to orthopaedic solutions. The Infinity-Lock Tape is no exception. Here’s what makes it a game-changer in the world of knee surgery:

1. Material Innovation: The Infinity-Lock Tape is constructed from a high-strength, low-profile synthetic material that is both durable and biocompatible. This ensures that it can withstand the rigours of the knee joint while minimising any potential adverse reactions in the patient.

2. Precision Engineering: Xiros’ product is engineered with precision, allowing for easy handling during surgical procedures. Surgeons can confidently use the tape to reconstruct the MPFL, thanks to its consistent and reliable performance.

3. Versatility: The tape’s versatility is one of its standout features. It can be used in various configurations to accommodate different patient anatomies and surgical approaches, providing surgeons with flexibility and adaptability.

4. Minimised Complications: With its innovative design, the Infinity-Lock Tape helps reduce the risk of complications commonly associated with MPFL Reconstruction procedures. It aids in maintaining proper patellar alignment and reduces the chances of postoperative instability.

5. Improved Patient Outcomes: Patients undergoing MPFL Reconstruction with the Infinity-Lock Tape often experience improved joint stability, decreased pain, and faster recovery times. This translates to a higher quality of life and a quicker return to normal activities.

The Clinical Impact

The clinical impact of Xiros’ Infinity-Lock Tape cannot be understated. Surgeons worldwide are praising its ability to simplify complex procedures while delivering consistently positive outcomes. By minimising surgical complications and postoperative instability, it’s becoming a go-to choice for MPFL Reconstruction.

Patients are benefiting from reduced pain and a shorter recovery period, allowing them to regain mobility and get back to their daily routines sooner.

The data speaks for itself

A recent study, ^{(Deo, et al., 2023)}, focused on addressing recurrent patella instability in adolescents and young adults. They employed a modern approach to medial patellofemoral ligament (MPFL) reconstruction using the Infinity-Lock Tape. The study tracked the progress of 85 carefully selected patients using Kujala and Oxford knee scores from 2014 to 2022.

The results were promising, with a statistically significant improvement in mean Kujala and Oxford knee scores (P < 0.001) post-surgery. Notably, there were no major complications such as knee stiffness, soft tissue problems, re-dislocations, or patella fractures. Minor complications were minimal, affecting only 10.6% of cases and included issues such as medial knee pain, residual instability, or superficial infection.

The authors concluded “This study demonstrates that modern, synthetic graft is a viable option for MPFL reconstruction. The technique described, achieves good clinical outcomes with low complication rates when compared with the published literature.” (Deo, et al., 2023).

Conclusion

In the ever-evolving field of orthopaedic surgery, Xiros’ Infinity-Lock Tape is a remarkable leap forward. Its innovative materials, precision engineering, and versatility are transforming the way surgeons address patellar instability, ultimately improving the lives of patients around the world. As technology and materials continue to advance, we can only expect even more groundbreaking innovations like this one to revolutionise the medical field and enhance patient care.

If you have patients with patellar instability, consider discussing the benefits of the Infinity-Lock Tape with your local Xiros representative. It may be the key to a quicker, more successful recovery and a return to a pain-free, active lifestyle for your patients.

Find out more

Contact us to find out more or to arrange a demonstration by your local representative.

Sources

Deo, H., Mohamed, R. & Ahmed, G., 2023. Medium-term outcome of medial patellofemoral ligament reconstruction using synthetic graft. The Knee journal, October, Volume 44, pp. 220-226. https://doi.org/10.1016/j.knee.2023.08.004

Disclaimer

Product availability may vary by region.