Biologic augmentation that strengthens rotator cuff repairs and lowers re-tear risk.
Bio Cuff Repair is a biologically augmented rotator cuff repair Dr. Kovack uses for larger tears, thinner or fatty-infiltrated tendon tissue, and revision cases where a standard repair alone carries a high re-tear risk.
The procedure is performed arthroscopically through small incisions. A dermal allograft (CuffMend) is placed over the repair to immediately strengthen it and to scaffold new, healthier tendon tissue as it heals.
Dr. Thomas Kovack, M.D.
Traditional rotator cuff repair stitches the torn tendon back to the bone — but the tendon itself can stay weak, which is why re-tears are common in larger or older tears. CuffMend dermal allograft can boost initial repair strength by more than 60% and meaningfully lower the chance of re-tear.
Over time the graft incorporates into the repair, helping new, stronger tendon tissue form and last.
Patients with large or massive tears, thinner tendon tissue on MRI, a prior failed repair, or higher physical demand are typical candidates. Dr. Kovack confirms whether biologic augmentation is appropriate intraoperatively based on tendon quality.
Recovery mirrors a standard rotator cuff repair: roughly 4–6 weeks in a sling followed by 4–6 months of structured physical therapy. Biologic augmentation is intended to improve durability of the repair, not shorten the protocol.
Book a consultation with Dr. Thomas Kovack at Advantage Orthopedics in Dublin, Ohio, or call our office to talk through next steps.
Comprehensive shoulder care, from arthroscopic repair to total joint reconstruction.
Arthroscopic and biologic techniques for durable rotator cuff healing.
A bone-preserving alternative to traditional shoulder replacement.
Thomas Kovack, D.O.
6670 Perimeter Dr, Suite 140
