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birefringence than did that of the control group ( .05 for all). Biomechanically, the USC sheet group showed significantly higher failure load and stiffness versus the control group ( .05 for all). A USC sheet was able to enhance RC healing in a canine model. The findings of the study showed that USC sheet implantation could serve as a practical application for RC healing. The findings of the study showed that USC sheet implantation could serve as a practical application for RC healing. This article reports the 3-year outcomes f