{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:36:48Z","timestamp":1793230608694,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,10,7]],"date-time":"2011-10-07T00:00:00Z","timestamp":1317945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,10,7]],"date-time":"2011-10-07T00:00:00Z","timestamp":1317945600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,10,7]],"date-time":"2011-10-07T00:00:00Z","timestamp":1317945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,10,7]],"date-time":"2011-10-07T00:00:00Z","timestamp":1317945600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To prospectively evaluate the safety and effectiveness of arthroscopic acellular human dermal matrix augmentation of large rotator cuff tear repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, institutional review board\u2013approved, multicenter series of patients undergoing arthroscopic repair of 2\u2010tendon rotator cuff tears measuring greater than 3 cm were randomized by sealed envelopes opened at the time of surgery to arthroscopic single\u2010row rotator cuff repair with GraftJacket acellular human dermal matrix (Wright Medical Technology, Arlington, TN) augmentation (group 1) or without augmentation (group 2). Preoperative and postoperative functional outcome assessments were obtained by use of the American Shoulder and Elbow Surgeons (ASES), Constant, and University of California, Los Angeles scales. Gadolinium\u2010enhanced magnetic resonance imaging (MRI) evaluation of these repairs was obtained at a mean of 14.5 months (range, 12 to 24 months). Adverse events were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 22 patients in group 1 and 20 in group 2 with a mean age of 56 years. The mean follow\u2010up was 24 months (range, 12 to 38 months). The ASES score improved from 48.5 to 98.9 in group 1 and from 46.0 to 94.8 in group 2. The scores in group 1 were statistically better than those in group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      = .035). The Constant score improved from 41.0 to 91.9 in group 1 and from 45.8 to 85.3 in group 2. The scores in group 1 were statistically better than those in group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      = .008). The University of California, Los Angeles score improved from 13.3 to 28.2 in group 1 and from 15.9 to 28.3 in group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      = .43). Gadolinium\u2010enhanced MRI scans showed intact cuffs in 85% of repairs in group 1 and 40% in group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). No adverse events were attributed to the presence of the matrix grafts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Acellular human dermal matrix augmentation of large (&gt;3 cm) cuff tears involving 2 tendons showed better ASES and Constant scores and more frequent intact cuffs as determined by gadolinium\u2010enhanced MRI. Intact repairs were found in 85% of the augmented group and 40% of the nonaugmented group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). No adverse events related to the acellular human dermal matrix were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, lesser\u2010quality randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.06.038","type":"journal-article","created":{"date-parts":[[2011,10,14]],"date-time":"2011-10-14T08:07:35Z","timestamp":1318579655000},"page":"8-15","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":398,"title":["A Prospective, Randomized Evaluation of Acellular Human Dermal Matrix Augmentation for Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"28","author":[{"given":"F. Alan","family":"Barber","sequence":"first","affiliation":[{"name":"Plano Orthopedic Sports Medicine and Spine Center Plano Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph P.","family":"Burns","sequence":"additional","affiliation":[{"name":"Southern California Orthopedic Institute Van Nuys California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Deutsch","sequence":"additional","affiliation":[{"name":"Kelsey\u2010Seybold Clinic of Orthopaedics Houston Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc R.","family":"Labb\u00e9","sequence":"additional","affiliation":[{"name":"Sports Medicine &amp; Arthroscopic Surgery, Bone &amp; Joint Clinic of South Houston Houston Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Litchfield","sequence":"additional","affiliation":[{"name":"Fowler Kennedy Sport Medicine Clinic University of 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