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( A ) Schematic of a massive rotator cuff tear. ( B ) Schematic of a standard rotator cuff repair using sutures to repair tendon back to bone. ( C ) Schematic of repair failure due to sutures cutting through tendon. ( D ) Integrating simulations, 3D printing, and experiments, we determined the optimal grasping tooth shape and the optimal distribution of an array of grasping teeth and applied these results to develop a python tooth biomimetic device for rotator cuff repair. ( E ) The python tooth–inspired device interposed between tendon and bone significantly enhanced rotator cuff repair mechanics by improving stress distribution across the attachment footprint.

Journal: Science Advances

Article Title: Python tooth–inspired fixation device for enhanced rotator cuff repair

doi: 10.1126/sciadv.adl5270

Figure Lengend Snippet: ( A ) Schematic of a massive rotator cuff tear. ( B ) Schematic of a standard rotator cuff repair using sutures to repair tendon back to bone. ( C ) Schematic of repair failure due to sutures cutting through tendon. ( D ) Integrating simulations, 3D printing, and experiments, we determined the optimal grasping tooth shape and the optimal distribution of an array of grasping teeth and applied these results to develop a python tooth biomimetic device for rotator cuff repair. ( E ) The python tooth–inspired device interposed between tendon and bone significantly enhanced rotator cuff repair mechanics by improving stress distribution across the attachment footprint.

Article Snippet: To assess the device in a clinically relevant rotator cuff repair setting, paired human cadaver rotator cuff samples were used (Anatomic Gift Foundation Inc., Hanover, MD).

Techniques:

( A ) 3D-printed python tooth–inspired device is placed at the native attachment site. ( B ) Schematic biomechanical testing setup for human cadaver rotator cuff tendons repaired with double-row suture only or device and suture. ( C ) Representative force-displacement curves for biomechanical tests of cadaver supraspinatus repairs with and without the device. ( D to F ) Mechanical evaluation of the device compared to the state-of-the-art rotator cuff repair. N = 5 biologic replicates per group. P values were determined using a two-tailed, paired Student’s t test (* P < 0.05). The device significantly increased the maximum force and energy absorption of the repaired rotator cuff.

Journal: Science Advances

Article Title: Python tooth–inspired fixation device for enhanced rotator cuff repair

doi: 10.1126/sciadv.adl5270

Figure Lengend Snippet: ( A ) 3D-printed python tooth–inspired device is placed at the native attachment site. ( B ) Schematic biomechanical testing setup for human cadaver rotator cuff tendons repaired with double-row suture only or device and suture. ( C ) Representative force-displacement curves for biomechanical tests of cadaver supraspinatus repairs with and without the device. ( D to F ) Mechanical evaluation of the device compared to the state-of-the-art rotator cuff repair. N = 5 biologic replicates per group. P values were determined using a two-tailed, paired Student’s t test (* P < 0.05). The device significantly increased the maximum force and energy absorption of the repaired rotator cuff.

Article Snippet: To assess the device in a clinically relevant rotator cuff repair setting, paired human cadaver rotator cuff samples were used (Anatomic Gift Foundation Inc., Hanover, MD).

Techniques: Two Tailed Test