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Regenerative medicine and stem cell therapy for rotator cuff injuries, rotator cuff tears, and shoulder pain SHOULDER CUFF INJURY / RUPTURE

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Painful symptoms of shoulder rotator cuff injuries and rotator cuff tears
Regenerative medicine is the choice for healing without cutting.

Our unique
treatment

[Before and After vol.003] Experiencing regenerative medicine
/ shoulder rotator cuff injury, shoulder osteoarthritis, shoulder joint contracture
/ female in her 60s

Why! Why choose our clinic?
The secret lies in the strength of our stem cells!
We will explain in detail about our unique culture technology.

Click here for more videos
What you can no longer do, you can do again.
What you can no longer do, you can do again.

Guaranteed Warranty Program for Joint Stem Cell Therapy Guaranteed Warranty Program for Joint Stem Cell Therapy

Guaranteed Warranty Program for Joint Stem Cell Therapy Guaranteed Warranty Program for Joint Stem Cell Therapy

Shoulder Joint Case Studies

See other cases 
Dr. Sakamoto considers rotator cuff injuries

What will happen?

Do I need surgery for a rotator cuff tear or rotator cuff injury in my shoulder
?

Shoulder rotator cuff tears and rotator cuff injuries can be caused by aging, falls, sports, repetitive tasks, or by friction between bone and rotator cuff around the shoulder joint.

If a patient presents with shoulder pain and limitation of motion, and an MRI scan diagnoses a rotator cuff injury, many physicians will suggest arthroscopic surgery. This is because, if left untreated, rotator cuff injuries can gradually spread and eventually lead to a complete tear. A complete tear makes surgery more difficult and increases the risk of re-tear after surgery.

Woman with a rotator cuff tear in her shoulder.

In reality, however, many patients hesitate to have surgery when they are able to maintain their daily activities despite a diagnosis of rotator cuff injury. This is because surgery is risky and requires hospitalization. In addition, even if surgery is successful, long-term rehabilitation may be required after discharge from the hospital.

Furthermore, surgery for a rotator cuff tear or injury may result in more pain and worsened limitation of movement than before surgery. Therefore, physicians considering surgery may avoid high-risk surgery if the patient is able to maintain daily activities and does not want surgery themselves.

Normal shoulder joint
Normal shoulder rotator cuff Normal shoulder rotator cuff
rotator cuff tear
Torn rotator cuff. Torn rotator cuff.

The common treatment is arthroscopic surgery.
I'd like to avoid as much risk as possible...

So what are the conditions that require surgery?

When shoulder pain makes daily life difficult or causes significant limitation of shoulder joint motion, surgery should be considered. In the past, before I encountered regenerative medicine, I used to recommend arthroscopic surgery to such people.

However, many people have found that the latest treatment method, regenerative medicine, can improve symptoms and regenerate the rotator cuff without surgery.

With regenerative medicine using stem cells, I can regenerate my
rotator cuff without surgery!

With the latest stem cell therapy, there's no need for surgery, hospitalization, or post-operative
rehabilitation visits, and you can
continue to work while getting the treatment!

Shoulder tendon injury, arthroscopic surgery for plate tear

Stem cell therapy as a new treatment option that avoids surgery

Regenerative medicine using stem cells for rotator cuff injuries is a cutting-edge treatment option that is gaining national and international attention. Many people are diagnosed with a rotator cuff injury but choose to avoid surgery if it is overlooked without significant impact on their daily lives. However, if a rotator cuff injury is left untreated, the wound will certainly enlarge.

For many such patients, treatment with regenerative medicine can improve symptoms. Of course, the effectiveness of treatment varies from person to person, but a high rate of pain relief can be expected.

Regenerative medicine physician: Sakamoto

A newer option, regenerative medicine, involves the administration of stem cells directly to the damaged area of the rotator cuff. This treatment promotes regeneration of the rotator cuff and aims to improve symptoms without surgery.

The
risks of rotator cuff tear surgery

1. Postoperative re-tear

Typically, surgery for rotator cuff injuries is performed arthroscopically. The common site of rotator cuff injury is where the rotator cuff attaches to bone. The surgical procedure involves implanting a screw called an anchor into the bone and suturing the tendon using a thread connected to the screw.

However, if the torn ends of the tendon are too far apart to repair, the fascia of the thigh is harvested to make up the deficiency.

Repair rotator cuff from rotator cuff tear
Repair rotator cuff from rotator cuff tear
Small to medium rotator cuff injury: 10-30%, large rotator cuff injury: 40-60% [risk of re-tear].
Small to medium rotator cuff injury: 10-30%, large rotator cuff injury: 40-60% [risk of re-tear].

Tendons are soft tissues and can tear even after suturing. Even with postoperative rehabilitation, there is still a risk of re-tear. The probability of re-tearing the rotator cuff after surgery depends on the location of the tear, the suturing technique, and the size of the injury.

The thought that I might tear again
makes me hesitate about the surgery...

That's a little disconcerting, isn't it? On the other hand, stem cell therapy works to regenerate the rotator cuff, so there is less risk of re-tear than with surgery. And because it is just an injection into the shoulder, postoperative joint contracture is almost non-existent.

2. Postoperative joint contracture

When tissue adhesions occur during surgery, joint contractures occur. Unfortunately, even if rehabilitation is performed after surgery, there is a high likelihood of residual joint contracture.

The aftereffects that always occur with surgery...
What should I do?

Woman with shoulder rotator cuff injury
Rehabilitation of shoulder rotator cuff tear pain

How to deal with joint contractures after surgery

If there is no improvement after postoperative rehabilitation or if joint contractures are severe, a treatment called "manipulation" is performed. Generally, this treatment requires hospitalization and is performed under general anesthesia. To release the adhesions, the shoulder joint is moved and manipulated to remove the adhesions.

At our clinic, this manipulation can be done as a day treatment by using echo and local anesthesia to the nerves. It is also a very effective treatment for joint contractures that do not respond to rehabilitation as well as it should, such as forty or fifty shoulders.

With Repair Cell Clinic, manipulation can be done as a day treatment without hospitalization!

Dr. Sakamoto explains
Dr. Sakamoto explains

For shoulder rotator cuff injuries and tears
What is our regenerative medicine?

These are the people who are
eligible for regenerative medicine

  • The arm does not move
    as it should, or there is
    pain when moving it, etc.

  • Arthroscopic or other surgery is recommended
    but I really want to avoid

  • No pain is present, but a rotator cuff injury has been diagnosed, and there is concern about possible worsening in the future.

  • Due to work
    long term hospitalization or
    inability to rehabilitate

May worsen after surgery.

Many of our patients who have received stem cell therapy for rotator cuff injuries have achieved superior results compared to surgery.

Conventional treatment for arthroscopic surgery to the shoulder requires hospitalization and several months of postoperative rehabilitation. Even then, pain may be more severe than before surgery and shoulder motion may remain limited.

Arthroscopic surgery and stem cell therapy make a difference after
treatment...

Man with shoulder injury

Stem cell therapy for the rotator cuff of the shoulder
Here's the key!

Stem cell therapy that can regenerate the rotator cuff with an injection-only day treatment

Stem cell therapy by injection allows regeneration of the rotator cuff without worsening the range of motion of the joint as surgery does. Furthermore, the greatest advantage is that patients can receive treatment while maintaining their daily lives. And unlike surgery, there is no need for a scalpel to be inserted into the body, so the treatment is safe and low-risk.

Comparing the post-treatment outcomes, I see that stem cell therapy has a better course of action than surgery!

Regenerative medicine and stem cell therapy for rotator cuff injuries, rotator cuff tears, and shoulder pain

Avoid surgery and regenerate the rotator cuff with
stem cell therapy

When the range of motion of the shoulder joint is limited and pain from the shoulder to the arm significantly affects daily life, arthroscopic surgery is required. Arthroscopic surgery requires hospitalization and long-term postoperative immobilization and rehabilitation, which can be physically and mentally demanding.

Stem cell therapy for rotator cuff injuries can be performed with a simple injection without the need for hospitalization. There is no need to worry about postoperative joint contracture, and because the patient's own stem cells are used, there is little risk of allergies or side effects.

I see that the aftereffects that occur with common arthroscopic surgery
almost never happen with stem cells!

They use your own cells and blood, so there are fewer allergies and
side effects!

Early treatment reduces the risk of
complete rupture.

Many people diagnosed with a rotator cuff injury choose not to undergo surgery if the pain is mild and they are able to go about their daily lives. However, even in the early stages of rotator cuff injury, if left untreated, the damage will gradually progress, increasing the likelihood of a complete tear of the rotator cuff eventually occurring.

To prevent this from happening, it is ideal to perform stem cell therapy at a stage when the injury is small and the rotator cuff is regenerating. Stem cell therapy can treat rotator cuff injuries with just an injection and reduce the risk of a complete tear in the future.

Without surgery...
Rotator cuff tear description

Gradual enlargement of the damaged area
may lead to complete rupture

If you are looking for stem cell therapy...
Treatment of Rotator Cuff Tears

With the burden-free treatment of just injections,
the risk of complete rupture is reduced.

What are stem cells in the first place?

Stem cell therapy for rotator cuff injuries of the shoulder

Stem cell therapy for rotator cuff injuries of the shoulder
Stem cell therapy for rotator cuff injuries of the shoulder

Stem cells are extracted from the body and injected into the rotator cuff.

The rotator cuff is created from stem cells.

Regenerative medicine offers possibilities that have never been seen before. We have seen many patients improve their symptoms and become able to do things they could not do before with stem cell therapy. We hope that this treatment will become more widespread and offer new hope.

Thus, stem cell therapy for rotator cuff injuries of the shoulder is very promising both nationally and internationally as a cutting-edge treatment.

I can't regenerate my rotator cuff with surgery, but I can make one from
stem cells!

Our Stem Cell Strengths

Characteristics of our hospital (1)

A New Stage in Stem Cell Therapy
Regenerative Medicine Moves into the Era of Differentiation Induction｜Joint Therapy

Regenerative medicine using differentiation induction enables more extensive repair of articular cartilage, meniscus, and osteonecrotic areas.

Delivering what you need where you need it (differentiation induction)
"The Next Generation of Regenerative Medicine"

A New Stage of Stem Cell Therapy
The Next Generation of "Regenerative Medicine " for Joints by Differentiation Induction

In our body, there are "stem cells," that can change into various forms like a fertilized egg.

For example, it can transform itself into nerves, blood vessels, bones, blood, muscles, etc.

This ability to transform is called differentiation..

I see that stem cells can differentiate into various tissues such as nerves, blood vessels, bone, blood, muscle, etc.

Stem cell differentiation
Stem cell differentiation
Stem cell differentiation

The process of guiding stem cells that change into various forms to differentiate into specific tissues such as bones and nerves is called "induction of differentiation.

By inducing differentiation, the administered stem cells can be fully utilized, thereby increasing the regenerative capacity of the targeted tissue.

By inducing stem cells to differentiate into
specific tissues, such as nerve or bone, you can increase the regenerative capacity of the
tissue you want to repair!

Induction of stem cell differentiation
Induction of stem cell differentiation
Induction of stem cell differentiation

Safety and Security

In this differentiation induction process, we do not use any chemical substances or manipulate genes. We use the power of our own cells, so you can receive our treatment with peace of mind.


regenerative medicine for joints by induction of differentiation

The cartilage of the joints has a foundation, which is called the subchondral bone (nankotsukakotsu).

By differentiating and inducing stem cells in this subchondral bone, it is now possible to prepare the foundation and generate a lot of cartilage on top of it, and also to maximize the effect on pain.

In order to regenerate cartilage in the joints, it is important to prepare the "subchondral bone,"
which is the foundation of the cartilage?

Regenerative medicine of joints by induction of differentiation
Regenerative medicine of joints by induction of differentiation

Characteristics of our hospital (2)

The quality of
stem cells is high because they are cultured without freezing.

Since the stem cells are cultured each time they are administered without freezing, they boast a high survival rate.

Our original culture, "as-is" culture
Our original culture, "as-is" culture

It's actually time-consuming to culture them "each time" as they are administered. But we use this method because it increases the survival rate at the time of administration!

Freshly cultured cells are fresh and lively! It is unique to our hospital that cells with high survival and activity rates can be administered every time.

Our original culture, "as-is" culture
Our original culture, "as-is" culture

As the cryopreservation period increases, the cells gradually die, and the surviving cells also lose quality.

Foods also lose their taste and quality when frozen!
It is best to use "freshly prepared" food made "at the time of use" for both cooking and cellular products!

Exactly! I would say that the quality of our unique "on-the-spot" culture is completely different from the general "make-ready" culture.

In Typical Cell Processing Facilities...
Cells are often frozen during storage and transport.

In addition, cryopreserved cells that are made and stored in cell processing rooms are generally transported frozen to other medical facilities.

These cryopreserved cells are transported to medical facilities while frozen, then thawed before use.However, many cells die or weaken during the thawing process, reducing their effectiveness.

General cell processing room General cell processing room

Features of our hospital (iii)

Using the patient's own blood
Safe culture method without blood substitutes

We do not use blood substitutes in cell culture.

I don't use it.
  • Blood substitutes
    (bovine serum, artificial serum)
We do not use blood substitutes in cell culture.

We insist on using only your own cells and
blood!

High safety and survival rates

At our clinic, we culture with your own blood, which is free of impurities and chemicals, ensuring high safety and survival rates. Some facilities use bovine blood or artificial blood called serum-free medium for culture.

High safety and survival rates

Generally, bovine blood and serum-free culture media are used for research purposes, but there are still concerns about allergies and mad cow disease in the clinical setting when actually administered to the human body.

In addition, although culturing stem cells from one's own blood requires advanced culturing techniques, stem cells cultured from one's own blood have strong vitality and can firmly repair damaged areas, enabling treatment with high regenerative potential.

High safety because cells are cultured using the patient's own blood

It is very difficult to culture them using their own blood, but they grow more vibrant cells that way.

I guess using your own cells and blood is more
compatible.

Features of our hospital (4)

Advanced technology for stem cell extraction
Proprietary separation sheets without chemicals or additives

We do not use chemicals or additives in cell culture

I don't use it.
  • Lipolytic enzymes
    (Chemicals)
  •  additive
We do not use any chemicals or additives during cell culture.

No chemicals or additives are used!

High safety and security /
Original culture technology

  • Using our own separation sheet, it is possible to culture stem cells with strong viability.
  • In culture methods using common degradative enzymes (chemicals), cells are weak and survival rates are low. Allergy is also a concern.
High safety and security / Original culture technology

Characteristics of our hospital (5)

High survival and activity rates

Stem cell viability and activity

Understanding stem cell viability and activity rates is very important in understanding regenerative medicine. Even when we talk about stem cell regenerative medicine, there is no uniformity in the way cells are cultured at different medical institutions. This means that the degree to which stem cells are viable and effective also varies from institution to institution.

In other words, the survival and activity rates of stem cells vary from institution to institution, and if the survival and activity rates are low, the desired effect cannot be expected.

Now we will discuss survival and activity rates.

What is Survival Rate?

Viability is the percentage of cultured stem cells that are alive.

Our Stem Cell Culture

Our stem cell culture, high survival rate
Our stem cell culture, high survival rate

General culture

General culture, low survival rate
General culture, low survival rate

What is activity rate?

The activity rate is the percentage of how healthy the living stem cells are.

Our Stem Cell Culture

Our stem cell culture, high activity rate Our stem cell culture, high activity rate

General culture

General culture, low activity rate General culture, low activity rate

Even at the same survival rate, if the living cells are
weaker, the fixation rate will also be lower.

No matter how high the survival rate is, if the living cells are inactive and weak, the stem cells will not be fully effective. In other words, even if the survival rate is high, if there are many weak cells with a low activity rate, the stem cell therapy will be less effective, the stem cell fixation rate will be low, and the therapeutic outcome will be poor.

Features of our hospital (6)

The amount of fat to be extracted is small (about 2-3 grains of rice)
and therefore less stressful to the body

A 1 cm incision is made around the lower abdomen and fat (about 2-3 grains of rice) is harvested. Stem cells are extracted and cultured from the harvested fat cells, and the number of stem cells is increased to 10 to 100 million before they are administered into the body. (The number of cells administered varies depending on whether it is intravenous infusion, intra-articular injection, or intraspinal injection.)

Because stem cells are grown in culture, fewer cells are needed to be harvested, the wound is smaller, and there is almost no pain, so the burden on the body is minimal.

Less burden on the body due to the small amount of cells collected (2-3 grains of rice)
Less burden on the body due to the small amount of cells collected (2-3 grains of rice)

Characteristics of our hospital (7)

Because more than 100 million cells can be administered,
treatment results are good

Since the stem cells are cultured each time they are administered without freezing, they boast a high survival rate.

Comparison of treatment outcomes
(for cartilage regeneration)

General Treatment

  • BEFORE (before stem cell administration) Sakamoto: "The light brown area is bare bone." BEFORE (before stem cell administration) Sakamoto: "The light brown area is bare bone."
  • Stem cell administration: 10 million typical doses Stem cell administration: 10 million typical doses
  • AFTER (6th month of stem cell administration) Cell-kun: "The white area is newly regenerated cartilage!" AFTER (6th month of stem cell administration) Cell-kun: "The white area is newly regenerated cartilage!"

Our Treatment

  • BEFORE (before stem cell administration) Sakamoto: "The light brown area is bare bone." BEFORE (before stem cell administration) Sakamoto: "The light brown area is bare bone."
  • Stem cell administration: 100 million typical doses Stem cell administration: 100 million typical doses
  • AFTER (6th month of stem cell administration) Cell-kun: "The white area is newly regenerated cartilage!" AFTER (6th month of stem cell administration) Cell-kun: "The white area is newly regenerated cartilage!"

Detailed treatment information

Treatment details
Cell therapy using autologous adipose-derived mesenchymal stem cells (intra-articular knee injection).
Since the cells are cultured each time they are administered without freezing, the stem cells have a high survival rate.

Duration and number of treatments

Studies have shown that effects begin to appear 3-6 months after administration.

cost

25 million pieces: 1,320,000 yen (including tax)
50 million pieces: 1,540,000 yen (tax included)
100 million pieces: 1,980,000 yen (tax included)
*This is an unreserved treatment.
A counseling fee of 3,300 yen (including tax) and a blood test fee of 11,000 yen (including tax) are required.
*The price is for a single dose. Discounts will be applied as the number of doses increases.

Major Risks and Side Effects

Pain, swelling, and internal bleeding at the treatment site (generally resolves in a few days)
Infection (extremely rare, but infection may occur during cell culture or administration)
Allergic reactions (extremely rare due to the autologous nature of the cells)
Individual differences in efficacy (efficacy may vary depending on symptoms and age)

The above image was taken from the article " Intra-articular injection of mesenchymal stem cells for the treatment of osteoarthritis of the knee: a proof-of-concept clinical trial. The image above is from the article "Intra-articular injection of mesenchymal stem cells for the treatment of osteoarthritis of the knee: a proof-of-concept clinical trial.
In this study, the best results were obtained in the high-dose (100 million stem cells) group. Effectiveness may vary from person to person. Please contact our clinic for more information.

Compared to 10 million,
100 million stem cells administered is more
cartilage!

Conclusion. Conclusion. The more stem cells administered, the more
Good treatment results

In the picture, you can clearly see that the more stem cells administered, the more cartilage
is regenerated!

It is common practice to administer about 10 million stem cells in a joint. However, at our clinic, we can administer more than 100 million fresh stem cells that have not been cryopreserved, depending on the patient's symptoms.

It has been proven in clinical data from overseas that the greater the number of stem cells administered, the better the therapeutic outcome.

In addition..!

The quality assurance by a third-party organization makes
safe and secure.

All stem cells confirmed to meet quality standards

All stem cells confirmed to meet quality standards
All stem cells confirmed to meet quality standards

Stem cells cultured under strict control are
evaluated for quality by a third party
to see how they really are!

It's like a certificate of authenticity that proves that the diamond ring is real and of what quality.

Stem Cell Therapy Procedure

At our clinic, stem cell therapy is performed according to the following procedure.

  • Initial consultation and interview (approx. 2 hours)

    01

    Initial consultation and interview (approx. 2 hours)

    The physician will conduct a detailed investigation of the patient's condition and confirm whether stem cell therapy is suitable. After confirmation, the specific treatment process and details are explained, and if consent is obtained, a blood sample is drawn to test for infections and other diseases. After that, we will ask the patient to submit a consent form and start the treatment.

  • Fat collection (about 30 minutes)

    02

    Fat collection (about 30 minutes)

    Local anesthesia is administered to the patient's lower abdomen, and about three grains of fatty tissue are extracted.

  • Cell Culture Process

    03

    Cell Culture Process

    We have submitted a notification to the Ministry of Health, Labor and Welfare and professionally process adipose tissue collected at an accepted cell culture center into the specific cellular products required for treatment.

  • Intravenous infusion of specific cellular products

    04

    Administration of specific cellular products

    Local administration (from about 5 min.)

Shoulder Rotator Cuff Injuries and Rotator Cuff Tears For those suffering from

Have you heard of regenerative medicine?

Have you heard of regenerative medicine?
Have you heard of regenerative medicine?

The clinic offers
free consultations.

Free Consultation
  • Treatment methods and results
  • Unique stem cell therapy technology
  • Safety and risks
  • Treatment plans and pricing
Chairman Sakamoto
Call for a free consultation 0120-706-313 Toll free/ Office hours: 09:00-18:00
Inquiry / Email Consultation

What is a rotator cuff?

The rotator cuff is composed of four muscles that surround the shoulder joint and serve to connect the shoulder blade to the humerus.
These muscles are the supraspinatus, infraspinatus, subscapularis, and facetus muscles, which stabilize the shoulder joint and contribute to arm raising and twisting movements. In particular, combined with the deltoid muscles, they play an important role in maintaining normal shoulder function.

Main Causes

Falls, strong external forces, repetitive shoulder work, wear from aging, etc.

Rotator cuff injuries can be caused by factors such as

falling down

When a hand is placed on the shoulder in a fall, a sudden load is placed on the shoulder, causing damage to the rotator cuff.

strong external force

A strong external force from an accident or trauma can cause the rotator cuff to tear.

Excessive use of shoulders

Repetitive shoulder work (e.g., occupations or athletes who use their shoulders and arms frequently) increases the risk of injury by overloading the shoulder through overuse.

Wear due to aging

As the body ages, the rotator cuff becomes more susceptible to wear and tear. Even in the absence of symptoms, an MRI scan may reveal potential damage.

symptoms

  •  Pain and numbness from the shoulder to the arm
  •  You have to hold it with your other hand to get it up.
  •  Pain limits the range of motion of the shoulder joint
  •  Complicated symptoms with 40 or 50 shoulders
  •  Sound in the joint when moving the shoulder

Symptoms associated with rotator cuff injuries include the following

Pain from shoulder to arm

Dull or stabbing pain may occur from the shoulder to the arm.

Restriction of shoulder joint motion

Rotator cuff injuries can limit the shoulder's ability to lift. It also often causes pain when moving it.

Appearance of sound

A rotator cuff injury may cause a gurgling sound when moving the arm.

Drop arm sign

It is a condition in which the patient is unable to lift the arm and must use the opposite hand to lift the arm.

Complications of forty or fifty shoulders

Rotator cuff injuries can be seen as a complication of the forty or fifty shoulder.

Numbness and pain

Rotator cuff injuries can cause numbness and pain in the arm.

diagnostic procedure

The following testing modalities are commonly used to diagnose rotator cuff injuries
X-rays cannot confirm rotator cuff injuries, but are used to evaluate bony deformities, etc. Magnetic resonance imaging (MRI) and echocardiography can provide detailed information on the extent and condition of rotator cuff injuries.

treatment

It is important to note that rotator cuff injuries do not heal spontaneously and if left untreated, the damaged area is likely to
spread.

regenerative medicine

Regenerative medicine using adipose-derived stem cells. This is the latest treatment to repair and regenerate the rotator cuff without the need for surgery or hospitalization and without rotator cuff reconstruction surgery. It is expected to reduce residual pain, joint contractures, and re-tears of the rotator cuff, which are expected to occur after surgery.

conservative therapy

Conservative therapy may be the treatment of choice for rotator cuff injuries when pain is mild and does not interfere with shoulder motion or daily activities. This is appropriate for elderly patients or patients in situations where surgery is not feasible. Rehabilitation, strength training, and medication are used to monitor the progress of the patient. However, rotator cuff injuries do not heal spontaneously, and if left untreated, the damaged area can spread and become completely torn.

surgical treatment

Usually, rotator cuff injuries do not heal spontaneously and may require surgery. The rotator cuff is anchored to the bone and tears often occur at the attachment site. If left untreated, extensive tearing can occur, and surgical options may be limited once the tear ends are separated. Surgical options depend on the patient's age, occupation, and injury status.

What is arthroscopic surgery?

Arthroscopic surgery is used to repair rotator cuff injuries. In this technique, a camera and special instruments are inserted through four small incisions around the shoulder to repair the rotator cuff.

During surgery, a screw called an anchor is implanted in the bone and the rotator cuff is sutured using a thread attached to the anchor. Anchors can be made of metal or plastic material.

- (1) Dual-row method (inner and outer rows)

Most torn rotator cuff tears are often horizontal tears. This technique allows for strong sutures by fixing each of the two rows, thereby lowering the risk of re-tear.

- (2) Bridge fixation method

In order to attach the rotator cuff tear to the bone more extensively, an anchor thread is placed over the top of the cross to hold the tendon in place. This technique is characterized by fewer stitches.

- (iii) Autologous femoral fascia grafting

When several of the four rotator cuffs are damaged, the tear is large, and the transected area has shortened, this technique is used to fill in the damaged area by grafting thigh muscle.

Regenerative medicine has possibilities that have never been seen before.
In regenerative medicine for shoulder problems, we have seen many people pleased to be able to do what they could not do before. We hope that this stem cell therapy will spread to as many people as possible and become a new hope.

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