{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:38:21Z","timestamp":1791848301871,"version":"4.3.4"},"reference-count":91,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To present outcomes of patients who underwent arthroscopic biologic tuberoplasty (ABT) and evaluate differences in outcomes based on sex, Hamada grade, concomitant procedures, and length of follow\u2010up with a minimum of 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients who underwent ABT between 2015 and 2022, with a minimum 1\u2010year follow\u2010up, were identified. Inclusion criteria were: (1) massive, irreparable rotator cuff tears, (2) active forward elevation &gt;90\n                      <jats:sup>0<\/jats:sup>\n                      , (3) intact or reparable upper border subscapularis tear, and (4) Hamada 1 to 3. ABT was performed with a 3\u2010\u2009mm\u2010thick dermal allograft. American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and Visual Analog Scale for pain were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty patients (68% males) met the inclusion criteria. Mean follow\u2010up was 22.9\u2009\u00b1\u200915.7\u2009months (range: 12\u2010109\u2009months). The mean age was 64.8\u2009\u00b1\u20098.1\u2009years (range: 46\u201079\u2009years). There was a significant improvement in ASES (37.4\u2009\u00b1\u200914.1\u201085.8\u2009\u00b1\u200910.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001), SANE (36.3\u2009\u00b1\u200916.7\u201083.5\u2009\u00b1\u200910.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001), and Visual Analog Scale for pain (7.2\u2009\u00b1\u20091.8\u20101.4\u2009\u00b1\u20091.9,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). There was no significant difference in mean postoperative ASES based on sex (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.6623), Hamada grade (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.1098), and isolated ABT versus those with concomitant procedures (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.1087). In addition, there was no difference in postoperative ASES between patients who had 1\u2010year follow\u2010up, those with 1 to 2\u2009years follow\u2010up, and those with &gt;2\u2009years follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.3887). Minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state for ASES were 100%, 96%, and 80%, respectively, for SANE were 96%, 78%, and 46%, respectively, and for Visual Analog Scale were 98%, 84%, 92%, respectively. The maximal outcome improvement for ASES was 77.4 and for SANE was 74.1.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Excellent clinical outcomes can be achieved in patients undergoing ABT with significant functional improvement and pain reduction in patients with massive, irreparable rotator cuff tears. These outcomes can be equally achieved in males and females, and in shoulders that are Hamada 1 to 3. Outcomes of patients with &gt;2\u2009years follow\u2010up were similar to those with 1\u2010year follow\u2010up and 1 to 2\u2009years follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70013","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:33:44Z","timestamp":1772969624000},"page":"108-122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Arthroscopic Biologic Tuberoplasty With a Dermal Allograft Leads to Significant Improvement in Functional Outcomes in Patients With Massive, Irreparable Rotator Cuff Tears"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7008-2484","authenticated-orcid":false,"given":"Raffy","family":"Mirzayan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery DOCS Spine + Orthopedics  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5961-817X","authenticated-orcid":false,"given":"Tal S.","family":"David","sequence":"additional","affiliation":[{"name":"Synergy Orthopedic Specialist  San Diego California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin W.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Jordan\u2010Young Institute  Virginia Beach Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misty","family":"Suri","sequence":"additional","affiliation":[{"name":"Ochsner Andrews Sports Medicine Institute, Department of Orthopedic Surgery Ochsner Health System  New Orleans Louisiana U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"L. Pearce","family":"McCarty,","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Allina Health  Plymouth Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Orlando Health Jewett Orthopedic Insitute  Melbourne Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7441-4921","authenticated-orcid":false,"given":"Gregory J.","family":"Gilot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Cleveland Clinic  Weston Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik S.","family":"Stark","sequence":"additional","affiliation":[{"name":"Orthopedic Specialists of North County  Carlsbad California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0487-5010","authenticated-orcid":false,"given":"Kevin F.","family":"Bonner","sequence":"additional","affiliation":[{"name":"Jordan\u2010Young Institute  Virginia Beach Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.06.017"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2013.01.008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.04.006"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2022.08.011"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.21.00667"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512456195"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.12.006"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.10.022"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.009"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.265"},{"key":"e_1_2_8_12_1","first-page":"266","article-title":"Superior capsular reconstruction: Clinical outcomes after minimum 2\u2010year follow\u2010up","volume":"46","author":"Hirahara AM","year":"2017","journal-title":"Am J Orthop (Belle Mead NJ)."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.02.053"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.129"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.09.033"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.10.002"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.10.027"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2020.10.026"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.12.016"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.09.032"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.06.018"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.02.026"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2021.11.035"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241278358"},{"issue":"6","key":"e_1_2_8_25_1","first-page":"2325967120S0033","article-title":"Functional and MRI outcomes of superior capsule reconstruction with acellular dermal matrix","volume":"8","author":"Acevedo D","year":"2020","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119863432"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241265085"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2025.06.008"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.03.016"},{"key":"e_1_2_8_30_1","first-page":"223","article-title":"Emerging treatment options for massive rotator cuff tears: Biologic tuberoplasty, balloon arthroplasty, anterior cable reconstruction, lower trapezius transfer","volume":"72","author":"Mirzayan R","year":"2023","journal-title":"Instr Course Lect."},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.08.035"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.03.024"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.08.060"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200706000-00003"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199005000-00014"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B4.752"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200004000-00006"},{"key":"e_1_2_8_38_1","first-page":"667","article-title":"Subscapular muscle transposition for repair of chronic rotator cuff tears","volume":"154","author":"Cofield RH","year":"1982","journal-title":"Surg Gynecol Obstet."},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02035"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80019-0"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518807924"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.10.013"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.023028"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.02.047"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.08.020"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.02.004"},{"key":"e_1_2_8_47_1","first-page":"e34402","article-title":"Preliminary outcomes of arthroscopic biologic tuberoplasty in the treatment of massive irreparable rotator cuff tears","volume":"15","author":"Mirzayan R","year":"2023","journal-title":"Cureus."},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.31486\/toj.23.0063"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.08.060"},{"key":"e_1_2_8_50_1","first-page":"e2021557","article-title":"Functional outcome of arthroscopic debridement for massive, irreparable rotator cuff tears","volume":"92","author":"Zanini B","year":"2022","journal-title":"Acta Biomed."},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.04.001"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.11.018"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200704000-00008"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.08.001"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.06.022"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221112659"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.02.018"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.10.002"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231168127"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00135"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00175"},{"key":"e_1_2_8_62_1","first-page":"144","article-title":"Fluoroscopic comparison of kinematic patterns in massive rotator cuff tears. A suspension bridge model","author":"Burkhart SS","year":"1992","journal-title":"Clin Orthop Relat Res."},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300303"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(99)00088-1"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400307"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00880"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(05)80004-7"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158563"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658020-00006"},{"key":"e_1_2_8_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(97)90084-7"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518768276"},{"key":"e_1_2_8_72_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.121764"},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B1.0790073"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199506000-00006"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.07.025"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.016"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2022.06.007"},{"key":"e_1_2_8_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.01.007"},{"key":"e_1_2_8_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.03.014"},{"key":"e_1_2_8_80_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-020-09661-9"},{"key":"e_1_2_8_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2012.02.002"},{"key":"e_1_2_8_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.09.015"},{"key":"e_1_2_8_83_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.00850"},{"key":"e_1_2_8_84_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-024-04140-0"},{"key":"e_1_2_8_85_1","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2024.v14.i03.4322"},{"key":"e_1_2_8_86_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00652-3"},{"key":"e_1_2_8_87_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465251326891"},{"key":"e_1_2_8_88_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.12.052"},{"key":"e_1_2_8_89_1","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12445"},{"key":"e_1_2_8_90_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.07.058"},{"key":"e_1_2_8_91_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.06.024"},{"key":"e_1_2_8_92_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-019-00614-1"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:53:56Z","timestamp":1776041636000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":91,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/arj.70013"],"URL":"https:\/\/doi.org\/10.1002\/arj.70013","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}