Human dermal allograft patch cushioning augmentation in large rotator cuff repair
- Author:
Eugene BAEK
1
;
Eugene BAEK
;
Hyun Gon KIM
;
Hyun Gon KIM
;
Jong Hyun LEE
;
Jong Hyun LEE
;
Seung Jin YOO
;
Seung Jin YOO
;
Je Hyeong JO
;
Je Hyeong JO
;
Su Cheol KIM
;
Su Cheol KIM
;
Jae Chul YOO
;
Jae Chul YOO
Author Information
- Publication Type:Technical Note
- From:Clinics in Shoulder and Elbow 2025;28(4):489-494
- CountryRepublic of Korea
- Language:English
- Abstract: In large posterosuperior rotator cuff tears, retear is more likely due to factors such as poor tendon quality, tendon loss, incomplete footprint coverage, and incomplete repair. To reduce the retear rate and promote healing, various strategies have been explored, including augmentation using a human acellular dermal matrix (HADM) allograft patch. However, the traditional patch augmentation with a suture-bridge configuration is complicated and time consuming. Another method to alleviate impingement between the repaired tendon and acromion, similar to the ballooning effect in the subacromial space, is the acromiograft technique. However, a thin acromion may lead to fractures, and such a graft is less likely to incorporate with the repaired tendon. To address these concerns, we developed a new technique that enhances healing through direct contact with the repaired tendon, alleviates impingement with a spacer effect, and simplifies the procedure while ensuring adequate medial coverage including the musculotendinous junction. This article describes our “patch cushioning technique” using an HADM allograft. The present report provides a purely technical description of the procedure.
