Achilles tendon allograft for an irreparable massive rotator cuff tear with bony deficiency of the greater tuberosity
Autor: | Sophie Abrassart, Adrien J Schwitzguebel, Alexandre Lädermann, Patrick J. Denard |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Shoulder Achilles Tendon Rotator Cuff Injuries 03 medical and health sciences Rotator Cuff 0302 clinical medicine medicine Humans Transplantation Homologous Orthopedics and Sports Medicine Rotator cuff Range of Motion Articular Function Outcome 030222 orthopedics Achilles tendon ddc:617 business.industry 030229 sport sciences Pain free Bone defect Allografts Bone and tendon insufficiency Surgery Treatment medicine.anatomical_structure Massive rotator cuff Orthopedic surgery Achilles allograft Range of motion business Greater Tuberosity |
Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 25, No 7 (2017) pp. 2147-2150 Knee Surgery, Sports Traumatology, Arthroscopy |
ISSN: | 0942-2056 |
Popis: | Management of combined bony and tendinous deficiency of the posterosuperior rotator cuff represents a challenge in young patients. In this case report, a 44-year-old woman that presented an osteonecrosis of the greater tuberosity had a pseudoparalytic shoulder. She beneficiated from a fresh-frozen Achilles tendon allograft with calcaneal bone, which was used to reconstruct the rotator cuff and the concomitant bony defect. At 12-month follow-up, the patient was pain free and had complete range of motion, normal strength, a SANE score of 95 and radiographically the allograft was healed. An Achilles tendon allograft may therefore be a viable surgical option to reconstruct a combine posterosuperior rotator cuff tear and greater tuberosity bone defect. Level of evidence IV. |
Databáze: | OpenAIRE |
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