Arthroscopic Incomplete Rotator Cuff Repair With Patch Augmentation Using Acellular Dermal Matrix Allograft

Abstract

Arthroscopic rotator cuff repair has been shown promising clinical outcomes. However, large to massive rotator cuff tears are difficult to completely repair with appropriate tension because of their size or poor tissue quality. An incomplete repair using the “hybrid technique” is one of way to solve this problem by maximizing the contact area between the tendon and the footprint of greater tuberosity. Additionally, the acellular dermal matrix patch augmentation has emerged as an adjuvant technique to enhance the biomechanical properties to promote healing of the repaired construct. This Technical Note describes arthroscopic incomplete rotator cuff repair using the “hybrid technique” with acellular dermal matrix patch augmentation.

Technique Video

Video 1

An arthroscopic, outside view and schematic image of the right shoulder revealing the incomplete rotator cuff repair with patch augmentation using acellular dermal matrix allograft in a 70-year-old patient.