Work

Arthroscopic Supraspinatus Tendon Reconstruction Using Fascia Lata Autograft Augmentation for Type B and C Musculotendinous Junction Tears

Year: 2025

Type: article

Abstract: Type B and C musculotendinous junction tears present unique surgical challenges because of poor tissue integrity. We describe an arthroscopic technique-the supraspinatus tendon reinforcement reconstruction technique-that combines autologous fascia lata grafting with remnant tendon augmentation. This biologically optimized approach achieves anatomic restoration through 3 key principles: intramuscular fascia lata passage to enhance medial integration, lateral bridging reinforcement fixation to improve load distribution, and scapular spine anchoring for structural stability. By preserving native kinematics while augmenting repair integrity, this reproducible method may reduce retear rates in type B and C musculotendinous junction tears, offering a viable alternative to traditional reconstructions.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2025.103895

Authors: Xueyan Zhao, Xiaoli Gou, Guo Zheng, Binghua Zhou

Institutions: Army Medical University, Chinese People's Liberation Army

Language: English

Topic: Shoulder Injury and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975