A New Technique for Patch Augmentation of Rotator Cuff Repairs

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A New Technique for Patch Augmentation of Rotator Cuff Repairs Shuzou Mihara, M.D., Teruyasu Ono, M.D., Hirofumi Inoue, M.D., Tetsurou Kisimoto, M.D. Arthroscopy Techniques Volume 3, Issue 3, Pages e367-e371 (June 2014) DOI: 10.1016/j.eats.2014.02.007 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Skin incision from Gerdy's tubercle to center along iliotibial ligament. (B) Collection of iliotibial ligament with bone at Gerdy's tubercle. Arthroscopy Techniques 2014 3, e367-e371DOI: (10.1016/j.eats.2014.02.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Formation of patch graft. (A) The iliotibial ligament is doubled over so that it will overlap the bone. (B) Passage of sutures (FiberWire; Arthrex, Naples, FL) through the formed graft is performed in advance. Arthroscopy Techniques 2014 3, e367-e371DOI: (10.1016/j.eats.2014.02.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 Introduction of patch graft into joint cavity (beach-chair position, right side, with lateral portal used as viewing portal). (A) Neviaser portal (a), anterior portal (b), and posterior portal (c). (B) Introduction of graft into joint through cannula. Arthroscopy Techniques 2014 3, e367-e371DOI: (10.1016/j.eats.2014.02.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 The graft is fixed by the suture-bridge technique with 2 Healix sutures on the inside and 2 Versalok sutures on the outside. (A) Schema. (B) Intraoperative image. Arthroscopy Techniques 2014 3, e367-e371DOI: (10.1016/j.eats.2014.02.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A) Preoperative magnetic resonance imaging scan (coronal view) showing rotator cuff tear. (B) Postoperative magnetic resonance imaging scan (coronal view) showing continuity of rotator cuff, graft, and bone. (C) On the postoperative computed tomography scan, healing of the bone of the graft and the greater tuberosity is confirmed. Arthroscopy Techniques 2014 3, e367-e371DOI: (10.1016/j.eats.2014.02.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions