Arthroscopic technique, more miniopen in tendon transfer with pectoralis major in massive irreparable ruptures of a throscopic cuff

Aim: To show the arthroscopic technique used for irreparable massive ruptures of the rotator cuff with hemipectoral major. Summary: 10 patients with indication of transfer of the pectoralis major flap surgery were performed with the sternal beam of the pectoralis major in the form of a mini open for graft and arthroscopic removal in their shoulder insertion, using peek anchors for anchoring in the lateral edge to the bicipital slide of the shoulder, with eighth month follow-up POP. Material & Methods: 20 patients were taken; male patients aged 54 to 70 years with the characteristics: supraspinatus retracted mass rupture, full passive mobility, Birch 0 º, Rotation 0º, Pain and swelling, EMG- Normal. Fifteen patients with retracted massive ruptures that could be repaired at the time of surgery were excluded. The retracted massive ruptures of the cuff were predominantly supraspinatus and subscapular, with imbalance in the cuplas, the lesion is first visualized under arthroscopic control, stating that it is irreparable and preparing the reintegration bed so that the sternal fascicle tendon is inserted by a mini open incision runs under the other fascicle, passes over the joint tendon and through the subacromial space is reinserted on the outer superior edge of the bicipital slider, after tenotomy or bicipital biotenodesis, placing two PEEK anchors with double reinforced sutures under arthroscopic vision, some were made fixation with anchors without knots. Close by planes, sling with thoracic girdle and postoperative to equal to the cuff.

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