Honoured to present at ISAKOS 2025 in Munich on a novel biological approach to rotator cuff repair.
I shared my surgical technique using the EnFix™ prosthesis from Tetrous during arthroscopic rotator cuff repair. A method that integrates demineralised bone fibres into the tendon-bone interface.
Rotator cuff retear rates remain persistently high, with some studies reporting rates of up to 40%. A major focus in orthopaedic research is identifying strategies to improve tendon healing and achieve more durable repair strength.
The key lies in restoring the enthesis the native, highly organised tendon-to-bone interface. Traditional repairs typically heal with scar tissue, which lacks the strength and structure of the original enthesis. However, emerging data from multiple animal studies suggest that using demineralised bone fibres can stimulate endochondral ossification, promoting the regeneration of a true enthesis.
Histological and biomechanical results are compelling: stronger repairs, more natural interfaces and a promising path forward for the future of biologic augmentation in shoulder surgery.
Excited to contribute to the ongoing innovation in soft tissue-to-bone healing.