{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:29:41Z","timestamp":1760920181102,"version":"build-2065373602"},"reference-count":64,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To show descriptive clinical and magnetic resonance (MR) imaging results after an additional periosteal flap augmentation in mini\u2010open rotator cuff reconstruction and to evaluate potential healing improvement at long\u2010term follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010three patients with degenerative rotator cuff tears were followed after receiving a mini\u2010open single\u2010row repair with a subtendinous periosteal flap augmentation. Data were collected preoperatively, after 12\u00a0months and after 11 years. Clinical examination, simple shoulder test (SST), Constant\u2013Murley Score (CS), ultrasonography examination and 3T MR imaging were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 23 patients, 20 were available for short\u2010term and 19 for final follow\u2010up at a median of 11.5 years (range 10.4\u201313.0). Questions answered with \u201cyes\u201d in SST improved from baseline 5.0 (range 1.0\u20138.0) to short 10.5 (range 8.0\u201312.0) and final follow\u2010up 12.0 (range 7.0\u201312.0). CS improved from 53.5 (range 25.0\u201366.0) to 80.8 (range 75.9\u201389.3) and finally to 79.8 points (range 42.3\u201395.4). Improvement was highly significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Severe retears were found in 9\/19 patients. Ossifications along the refixed tendon were noticed in 8\/19 cases. Ossifications did not correlate with clinical outcome. At final follow\u2010up, patients with retears seemed likely to have lower strength values in CS (mean\u2009\u00b1\u2009SD) than patients without retears (7.3\u2009\u00b1\u20094.1 vs. 12.8\u2009\u00b1\u20095.3; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No positive effect on improving healing response in rotator cuff refixation with a periosteal flap augmentation could be found. Retear rate is comparable to that of conventional rotator cuff refixation in the published literature. Ossifications along the tendon, without negatively affecting the clinical outcome, were seen. This invasive technique cannot be advised and should not be used anymore.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05384-8","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T04:03:33Z","timestamp":1555301013000},"page":"3212-3221","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["No healing improvement after rotator cuff reconstruction augmented with an autologous periosteal flap"],"prefix":"10.1002","volume":"27","author":[{"given":"C.","family":"Holwein","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Abteilung und Poliklinik f\u00fcr Sportorthop\u00e4die Klinikum rechts der Isar Technische Universit\u00e4t M\u00fcnchen Ismaninger Stra\u00dfe 22 81675 Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"von Bibra","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Abteilung und Poliklinik f\u00fcr Sportorthop\u00e4die Klinikum rechts der Isar Technische Universit\u00e4t M\u00fcnchen Ismaninger Stra\u00dfe 22 81675 Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. M.","family":"Jungmann","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Klinik f\u00fcr Neuroradiologie Universit\u00e4tsspital Z\u00fcrich Frauenklinikstra\u00dfe 10 8091 Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. C.","family":"Karampinos","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Institut f\u00fcr diagnostische und interventionelle Radiologie Klinikum rechts der Isar Technische Universit\u00e4t M\u00fcnchen Ismaninger Stra\u00dfe 22 81675 Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"W\u00f6rtler","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Institut f\u00fcr diagnostische und interventionelle Radiologie Klinikum rechts der Isar Technische Universit\u00e4t M\u00fcnchen Ismaninger Stra\u00dfe 22 81675 Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Scheibel","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Centrum f\u00fcr Muskuloskeletale Chirurgie der Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Campus Virchow Klinikum Augustenburger Platz 1 13353 Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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Holwein, B. von Bibra, P. M. Jungmann, D. C. Karampinos, K. W\u00f6rtler, M. Scheibel declare that they have no conflict of interest. Author A. B. Imhoff is a consultant for Arthrosurface, Arthrex, and mediBayreuth. Author S. Buchmann is a consultant for Arthrex.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was granted approval by Ethics Commission School of Medicine Technical University of Munich with the related number 70\/15s.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}