Modified Technique for Arthroscopic Bursal Acromial Reconstruction Utilizing Acellular Dermal Allograft

Stephen O'Neil; Sean Marvil; Harrison Lakehomer; C Cody Tipton; Jordan Dobrich; Brian B Gilmer; Dan Guttmann

doi:10.1016/j.eats.2021.10.022

Modified Technique for Arthroscopic Bursal Acromial Reconstruction Utilizing Acellular Dermal Allograft

Arthrosc Tech. 2022 Feb 13;11(3):e301-e306. doi: 10.1016/j.eats.2021.10.022. eCollection 2022 Mar.

Authors

Stephen O'Neil¹, Sean Marvil¹, Harrison Lakehomer¹, C Cody Tipton¹, Jordan Dobrich², Brian B Gilmer², Dan Guttmann¹

Affiliations

¹ Taos Orthopedic Institute, Taos, New Mexico, U.S.A.
² Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.

Abstract

Treatment options for massive irreparable rotator cuff tears continue to evolve. Recently bursal acromial reconstruction (BAR) has been described as an additional option to reduce pain and improve comfort. As originally described, an acellular dermal allograft is secured to the underside of the acromion as an interposition graft. We describe a modified technique that facilitates suture passage, reduces entanglement, and optimizes contact between the bone-graft interface.