• Military medicine · May 2024

    Pectoralis Major Tendon Reconstruction With Achilles Tendon Allografts Utilizing Combined Pulvertaft Weave and Onlay Techniques.

    • J Nickolas Wary, Craig R Bottoni, and Liang Zhou.
    • Orthopaedic Surgery Residency Program, Tripler Army Medical Center, Honolulu, HI 96859, USA.
    • Mil Med. 2024 May 8.

    AbstractSurgical treatment of chronic pectoralis major tears presents a technical challenge, as injury chronicity may preclude the ability to perform a direct repair. Many techniques have been described to repair an acute pectoralis tendon rupture, including utilization of unicortical buttons within the humeral footprint. In the chronic setting when direct repair is not possible, reconstruction with allograft tissue can restore strength, improve cosmesis, and yield high functional outcomes; however, literature is limited to small case series. We describe a combined Pulvertaft Weave and onlay technique with dual Achilles tendon allograft in the management of an active duty infantryman with a chronic pectoralis major injury.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2024. This work is written by (a) US Government employee(s) and is in the public domain in the US.

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