Padraic R. Obma, M.D. Arthroscopy Techniques

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Presentation transcript:

Free Biceps Tendon Autograft to Augment Arthroscopic Rotator Cuff Repair Padraic R. Obma, M.D. Arthroscopy Techniques Volume 2, Issue 4, Pages e441-e445 (November 2013) DOI: 10.1016/j.eats.2013.07.002 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 1 Biceps tendon autograft preparation for weave technique. Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 2 View from the posterior portal of a left shoulder as the biceps autograft is weaved through the posterior edge of the torn rotator cuff just lateral to the medial-row stitches and pulled out the anterior portal. (BT, biceps tendon; HH, humeral head; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 3 View from the posterior portal of a left shoulder as the anterior limb of the autograft has been weaved back through the anterior edge of the rotator cuff repair. (BT, biceps tendon; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 4 View from the lateral portal of a left shoulder showing the completed weave. At the top of the picture is the autograft limb above the rotator cuff just lateral to the medial knots. The limbs of the graft coming out underneath the rotator cuff are seen on the right and left sides. (BT, biceps tendon; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 5 View from the posterior portal of a right shoulder showing the horizontal mattress stitch used to tie down the autograft. (HMS, horizontal mattress stitch; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 6 View from the posterior portal of a right shoulder showing the autograft being tied down. (BT, biceps tendon; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 7 View from the lateral portal of a right shoulder showing the final onlay construct. (BT, biceps tendon; LRA, lateral-row anchor; RC, rotator cuff.) Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Figure 8 Magnetic resonance imaging of a postsurgical right shoulder showing a healed but thin rotator cuff repair. Arthroscopy Techniques 2013 2, e441-e445DOI: (10.1016/j.eats.2013.07.002) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions