A Synthetic Reinforcement Patch in Repair of Challenging Two-Tendon Rotator Cuff Tears
Bibliographic record
Abstract
Background The repair of chronic massive tendon tears may be a challenging procedure, especially with a frayed tendon caused by degeneration. The aim of this case series was to evaluate the outcome of a synthetic patch in the repair of complex rotator cuff tears, with regard to shoulder function, pain relief and quality of life. Methods A synthetic patch (Artelon® Tissue Reinforcement; Artimplant AB, Västra Frölunda, Sweden) was used in 17 patients with challenging repairs of chronic rotator cuff tears. The outcome of surgical treatment was evaluated after 3, 6 and 12 months by the Constant functional score and the Western Ontario Rotator Cuff (WORC) score. Results Significantly less pain and improved shoulder function, as evaluated by the Constant score, was seen 1 year after surgery, as well as an increased WORC score as a measure of improved disease-related quality of life. Re-operation was performed in one patient as a result of a re-tear. There were no complications related to the use of the reinforcement patch. Conclusions This case series showed satisfying results in technically challenging repairs of rotator cuff tears with the use of a synthetic reinforcement patch. Postoperatively, the patients showed less pain and improved shoulder function to the extent to perform better in daily life activities.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".