Arthroscopic Superior Capsule Reconstruction with a Doubled-Over (6 mm) Dermal Allograft.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 33680787.
- Also identified by DOI 10.1016/j.eats.2020.10.035 and PMC identifier 7917301.
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Abstract
Superior capsule reconstruction has gained popularity as a treatment option for massive rotator cuff tears. The initial graft described was a tensor fascia lata. In the United States, acellular dermal matrix or dermal allograft has gained popularity. The results from published reports have been promising, but graft tear on postoperative imaging has been reported in several studies. Strives are being made to reduce the graft tear rate. One such way is to increase the thickness of the graft. Biomechanical studies have shown that thicker and stiffer grafts perform better in restoring superior stability. We present a technique of doubling a commercially available 3 mm dermal allograft and making it into a 6 mm graft for superior capsule reconstruction.