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
Jazyk: angličtina
Rok vydání: 2017
Předmět:
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