{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:51:34Z","timestamp":1791226294174,"version":"4.1.0"},"reference-count":68,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n \n \n \u27a2 Biologic and synthetic augmentation grafts have been developed to enhance both the mechanical integrity of rotator cuff repairs and the biologic healing at the tendon-bone interface, particularly in the setting of compromised tissue quality.<\/jats:p>\n <\/jats:list-item>\n \n \u27a2 Xenograft augmentation is no longer favored because of inconsistent clinical outcomes, inflammatory responses, and a lack of supportive high-quality evidence.<\/jats:p>\n <\/jats:list-item>\n \n \u27a2 Allograft and synthetic graft augmentation may provide benefit in selected cases; however, optimal indications, implant selection, and long-term outcomes remain incompletely defined.<\/jats:p>\n <\/jats:list-item>\n \n \u27a2 Bioinductive collagen implants currently demonstrate the highest level of clinical evidence, with Level-I studies supporting improved structural healing and reduced retear rates in appropriately selected patients.<\/jats:p>\n <\/jats:list-item>\n \n \u27a2 The long head of the biceps tendon autograft represents a viable, cost-effective biologic augmentation option when available, providing favorable biologic compatibility and surgical versatility.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.26.00106","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:00:36Z","timestamp":1791223236000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Biologic and Synthetic Augmentation in Rotator Cuff Repair"],"prefix":"10.2106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-9148","authenticated-orcid":false,"given":"Peter","family":"Boufadel","sequence":"first","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-9952","authenticated-orcid":false,"given":"Mohammad","family":"Daher","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3953-0917","authenticated-orcid":false,"given":"James R.","family":"Satalich","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1170-0665","authenticated-orcid":false,"given":"Favian","family":"Su","sequence":"additional","affiliation":[{"name":"Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7128-232X","authenticated-orcid":false,"given":"Adam","family":"Lindsay","sequence":"additional","affiliation":[{"name":"The Center Orthopedic and Neurosurgical Care and Research, Bend, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7251-6503","authenticated-orcid":false,"given":"Adam Z.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Southern California Permanente Medical Group, Panorama City, 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