Elsevier

Arthroscopy Techniques

Volume 9, Issue 11, November 2020, Pages e1759-e1766
Arthroscopy Techniques

Technical Note
Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive Irreparable Posterosuperior Rotator Cuff Tears Using an Achilles Tendon-Bone Allograft

https://doi.org/10.1016/j.eats.2020.07.018Get rights and content
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Abstract

The lower trapezius tendon (LTT) transfer has been described for the management of irreparable posterosuperior rotator cuff tears. Here we describe our technique of an arthroscopic-assisted LTT transfer using an Achilles tendon-bone allograft. This technique allows for augmentation of the tendon transfer using an Achilles tendon allograft while also keeping the calcaneal bone insertion, which allows for added bony fixation into the humerus and also minimizing the risk of the "killer turn" phenomenon at the aperture of fixation.

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The authors report the following potential conflicts of interest or sources of funding: E.T.E. and T.L. have been paid consultants for Device Technologies, Australia, which is a distributor for Arthrex. E.T.E. and the Melbourne Orthopaedic Group receive fellowship funding support from Device Technologies, Australia. Full ICMJE author disclosure forms are available for this article online, as supplementary material.