{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:59:58Z","timestamp":1787237998523,"version":"build-2736575974"},"reference-count":52,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Large-to-massive rotator cuff tears with advanced fatty degeneration and retears after previous repair remain major clinical challenges. Despite advances in surgical techniques, clinical outcomes remain unsatisfactory. This study evaluated the 5-year outcomes of rotator cuff repair (RCR) with autologous fascia lata augmentation in patients at high risk of repair failure. Methods: We retrospectively reviewed 14 patients (mean age, 64.1 \u00b1 6.6 years) who underwent RCR with autologous fascia lata augmentation. All patients had large-to-massive rotator cuff tears with Goutallier grade 3 or 4 fatty degeneration or retears after prior cuff repair. Clinical outcomes were evaluated using the visual analog scale (VAS) for pain, the American Shoulder and Elbow Surgeons (ASES) score, and the Constant score. Postoperative cuff integrity was assessed using magnetic resonance imaging (MRI) or ultrasonography. Results: At the 1-year follow-up, significant improvements were observed in pain VAS (from 5.1 \u00b1 1.6 to 1.3 \u00b1 1.0, p &lt; 0.001), ASES score (from 51.9 \u00b1 19.1 to 85.2 \u00b1 7.8, p &lt; 0.001) and Constant score (from 51.3 \u00b1 13.8 to 70.8 \u00b1 7.0, p &lt; 0.001). These improvements were maintained throughout the 5-year follow-up. Postoperative imaging demonstrated an overall retear rate of 7.1% (1\/14). No patient underwent revision surgery during follow-up. Conclusions: Autologous fascia lata augmentation was associated with sustained pain relief and functional improvement throughout the 5-year follow-up, with a low retear rate on postoperative imaging. These findings suggest that autologous fascia lata may be a viable graft option for rotator cuff augmentation in selected patients, although further prospective comparative studies with larger cohorts are warranted.<\/jats:p>","DOI":"10.3390\/jcm15166441","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T09:48:31Z","timestamp":1787219311000},"page":"6441","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rotator Cuff Repair with Autologous Fascia Lata Augmentation in Patients at High Risk for Repair Failure: Five-Year Follow-Up Outcomes"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6241-2519","authenticated-orcid":false,"given":"Sungjoon","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam 13496, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Myeung","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Ho","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"ref_1","first-page":"309","article-title":"Trends in rotator cuff repair rates and comorbidity burden among commercially insured patients younger than the age of 65 years, United States 2007\u20132016","volume":"1","author":"Yanik","year":"2021","journal-title":"JSES Rev. 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