Latissimus Dorsi Tendon Transfer Augmented by Human Dermal Tissue Allograft for Massive Rotator Cuff Tears: Surgical Technique

We describe a latissimus dorsi transfer procedure specifically augmented by an acellular dermal allograft, which serves as a reinforcing onlay on the bursal side of the transferred tendon. At the completion of the reconstruction, the host latissimus tendon is in direct contact with both the native prepared bone on the tuberosity footprint and the surrounding tissues. The goal of this procedure is not only to augment the native latissimus tendon and improve its tensile properties during the healing process, but also to achieve complete superior humeral head coverage with the potential for force couple restoration and increased function of a deficient subscapularis tendon.
Source: Techniques in Shoulder and Elbow Surgery - Category: Orthopaedics Tags: Online Articles Source Type: research