Cost analysis of dermal allograft patch utilization in rotator cuff repair

• Published in: JSES reviews, reports, and techniques reports, and techniques, 2025-02, Vol.5 (1), p.40-45
• Main Authors: Da Silva, Adrik Z., Mizels, Joshua, Clinker, Christopher E., Yoo, Minkyoung, Nelson, Richard, Joyce, Christopher, Tashjian, Robert Z., Chalmers, Peter N.
• Format: Article
• Language: English
• Subjects: Cost analysis; Original and Reviews; Patch augmentation; Patch interposition; Rotator cuff repair; Rotator cuff tear; Value driven care
• ISSN: 2666-6391; 2666-6391
• DOI: 10.1016/j.xrrt.2024.08.011

To perform an analysis of intraoperative costs associated with arthroscopic rotator cuff repair (RCR) acellular dermal allograft patch augmentation and interposition. This was a matched cohort retrospective cost identification analysis. We identified patients who underwent arthroscopic RCR with acellular dermal allograft patch augmentation or interposition between 2014 and 2023 at a single academic center. These were matched based on age and tear size to a cohort of patients who underwent arthroscopic RCR without a patch. Patients without preoperative MRI data were excluded. Via chart review, we collected demographics, medical comorbidities, tear characteristics, and intraoperative repair characteristics. Patch and control patients were compared with paired t tests. Differences in costs between patch and control patients were assessed using multivariable regression controlling for observable covariates. One hundred and thirty-two (132) total patients were included: 66 patch patients and 66 control patients. The patch group demonstrated more tear retraction and utilized single row medial repair more frequently. Multivariable analysis revealed that there was a $4930 total direct cost increase with the utilization of a patch (P