PMC5489609_01
Preoperative coronal (a) and axial (b) CT scan demonstrating massive greater tuberosity bone loss
167_2016_3989_Fig1_HTML.jpg
PMC5489609_01_167_2016_3989_Fig1_HTML.jpg
Fig1
Radiographic evaluation demonstrated a complete osteonecrosis and resorption of the greater tuberosity (Fig. 1) with a suspicion of massive rotator cuff tear involving both supraspinatus and infraspinatus tendons, without retraction.
The allograft is prepared with an Achilles tendon split (a), which is inserted in order to reinforce the rotator cuff (b)
167_2016_3989_Fig2_HTML.jpg
PMC5489609_01_167_2016_3989_Fig2_HTML.jpg
Fig2
The Achilles tendon allograft with attached calcaneus was then prepared (Fig. 2a). The deep split of Achilles tendon was then sewn into the native posterosuperior rotator cuff to reinforce the repair (Fig. 2b).
Postoperative arthroscanner shows the bony integration of the Achilles-calcaneal allograft, and a good integration of posterosuperior tendinous graft
167_2016_3989_Fig3_HTML.jpg
PMC5489609_01_167_2016_3989_Fig3_HTML.jpg
Fig3
The arthroscanner showed a good integrity of the tendinous graft (Fig. 3).