Distributor Resource Center

Tendon-Bone Interface

Rotator Cuff Integrated Onlay

Tendon Repair Scaffold

Wound Reconstruction

ADVANCING ROTATOR CUFF HEALING AT THE ENTHESIS

ROTIUM® is a bioresorbable wick placed at the tendon–bone interface designed to:

• Kickstart and optimize the healing environment
• Promote native tissue remodeling & integration
• Deliver consistent, long-term healing outcomes in rotator cuff repairs

The biologic healing challenge

• Retear rates remain high—averaging over 35% across published studies
• The focus has been on mechanical fixation, overlooking the biologic gap at the enthesis
• Healing often occurs through scar tissue formation, compromising long-term durability

The rotium advantage

• ROTIUM is an interpositional bioresorbable scaffold designed for placement at the tendon–bone interface.
• By capturing and retaining biologic factors at the repair site, ROTIUM is engineered to support the healing environment and tissue remodeling during the critical phases of tendon-to-bone healing.

efficiency meets biology

Rotium scaffold implant

Designed for efficiency, ROTIUM integrates seamlessly into standard rotator cuff repair techniques without adding surgical time.

The bioresorbable scaffold delivers targeted biologic support directly at the repair site to enhance the healing environment and promote native tissue remodeling.

https://www.youtube.com/watch?v=L_39PmiG3vU

ROTIUM Bioresorbable Wick Animation

Unique Design
Features

• An Interpositional Scaffold
• 100% Synthetic

• Wicks biology at the tendon-bone interface to kickstart the healing process
• Designed for ease of use: no additional instrumentation or fixation required 

• Optimal Sizes for Footprint Coverage
  • 20×20 mm
  • 40×30 mm

• Specs:
  • Thickness: 0.85 mm
  • Resorption: 3-4 months

Rotium Brochure

VERSATILE & SIMPLIFIED TECHNIQUE

Step 1

Pass suture through scaffold.

Step 2

Taco & push through cannula.

Step 3

Position on the repair footprint.

Step 4

Complete repair with cuff over ROTIUM®.

• 
  Applicable with any Rotator Cuff Repair technique
• 
  No disposables
• 
  No special instrumentation required

ROTIUM surgical technique

Advantages for the Ambulatory Surgery Centers (ASC) & Hospitals

• Cost-Effectiveness – Affordable without compromising quality, appealing to price-sensitive markets
• Efficient Technique – Incorporated into current RTC surgeries without the need for extra disposables, staples or instrumentation
• Robust Synthetic Structure – For ease of handling during implantation and no special storage requirements

Arthroscopic images courtesy of Dr. Jacob Kirsch

Clinical Success &
Proven Science

Backed by 16 years of research, Atreon’s technology delivers science-driven solutions that support healing, enhance repair, and elevate surgical outcomes.

ROTIUM Resources

Patient Outcomes Study Findings: Patients who received the ROTIUM scaffold had a significantly lower cumulative treatment failure rate (7.1%) compared to those who did not receive the scaffold (50%) over an average follow-up of 17 months.

ROTIUM Clinical Outcomes Publication

Beleckas, C. M., Minetos, P., & Badman, B. L. (2023). J Orthopaedic Experience & Innovation, 4(2).

doi.org/10.60118/001c.84269

Animal Study Findings: Results  showed that ROTIUM scaffold-augmented repairs exhibited increased failure strength and bone-tendon integration with the development of Sharpey-like fibers at the tendon-bone interface, suggesting improved healing. 

J Shoulder Elbow Surg. 2022;31(2):402-412

DOI: 10.1016/j.jse.2021.07.018

ROTIUM Animal Study Publication