Pectoralis major tendon reconstruction using an iliotibial band autograft

Abstract

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A review of chronic pectoralis major tears: what options are available?

“…Decker et al [ 33 ] described a case of a chronic pectoralis major tendon tear reconstructed using an ITB autograft. The free ITB graft was folded over the lateral tendon-deficient end of the pectoralis major muscle with 5–6 cm of graft covering both the anterior and posterior aspects of the distal muscle belly.…”

“…A locking modified-Krackow technique was used to pass a single limb from each remaining suture anchor in a lateral to medial fashion along the free folded edge of the tendon graft, while the opposite limb was passed posteriorly to anteriorly at the lateral edge. At 2-year follow up, the patient had recovered full functional range of motion (ROM), strength and appearance, along with “excellent” outcomes as per the clinical outcome scale classified by Bak et al [ 14 , 33 ].…”

“…When the musculotendinous unit of the pectoralis is unable to be adequately mobilized, autograft or allograft reconstruction may be required. The uses of many different graft types have been described in the literature, including bone-patellar tendon (BPT) autograft, gracilis-semitendinosus autograft, iliotibial band (ITB) autograft, semitendinosus allograft, fascia lata allograft, Achilles tendon allograft, and dermal allograft (Table 3) [8,13,16,[26][27][28][29][30][31][32][33].…”

“…Rehabilitation protocols following chronic pectoralis major reconstruction varied slightly from study to study (Table 4) [8,13,16,[26][27][28][29][30][31][32][33]. However, protocols generally followed a similar progression.…”