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Knee Surgery, Sports Traumatology, Arthroscopy

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Open Access 01-07-2017 | Shoulder

Achilles tendon allograft for an irreparable massive rotator cuff tear with bony deficiency of the greater tuberosity

Authors: Alexandre Lädermann, Patrick J. Denard, Sophie Abrassart, Adrien J.-P. Schwitzguébel

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2017

Abstract

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.

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Title: Achilles tendon allograft for an irreparable massive rotator cuff tear with bony deficiency of the greater tuberosity
Authors: Alexandre Lädermann
Patrick J. Denard
Sophie Abrassart
Adrien J.-P. Schwitzguébel
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-3989-1

At a glance: The STEP trials

Springer Medicine

Achilles tendon allograft for an irreparable massive rotator cuff tear with bony deficiency of the greater tuberosity

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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