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As is a common theme throughout orthopaedics, both biomechanics and biology play a role in successful healing. The new frontier in tendon\u2010to\u2010bone healing appears to be pairing biologic augmentation, such as bone marrow aspirate concentrate (BMAC), with previous biomechanical advancements. However, only 8 studies have specifically investigated the utility of BMAC in rotator cuff repair, and as of yet, there are minimal data to suggest that recent biologic technologies have shown clinical effectiveness. The technology has been more comprehensively studied in knee arthritis with similarly disappointing clinical results. Rotator cuff repair outcomes are dependent on many factors inherent to the injury (e.g., chronicity, bone quality, tendon quality, retraction), the patient (e.g., age, smoking, diabetes, adherence to postoperative protocol), and the surgeon (e.g., quality of technique, repair tension, patient education). Trying to decide the efficacy of BMAC or other cell\u2010based technology is going to be very difficult.<\/jats:p>","DOI":"10.1016\/j.arthro.2025.01.060","type":"journal-article","created":{"date-parts":[[2025,2,9]],"date-time":"2025-02-09T09:54:58Z","timestamp":1739094898000},"page":"3063-3064","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary:<\/i>\n                    Utility of Bone Marrow Aspirate Concentrate in Orthopaedic Surgery Remains Questionable"],"prefix":"10.1002","volume":"41","author":[{"given":"Carl K.","family":"Schillhammer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,9]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.11.060"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516662455"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211018837"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2017007"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231154601"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325000830?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325000830?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.01.060","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2025.01.060","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2025.01.060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:29:33Z","timestamp":1773566973000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2025.01.060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,9]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1016\/j.arthro.2025.01.060"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.01.060","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Utility of Bone Marrow Aspirate Concentrate in Orthopaedic Surgery Remains Questionable","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.01.060","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2024.11.060","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}