Parachute Technique for Dermal Allograft Augmentation in Open Gluteal Abductor Repair
Authors: Kahana-Rojkind AH, McCarroll TR, Kuhns BD, Parsa A, Quesada-Jimenez R, Domb BG
Journal:Arthroscopy Techniques, May 2024
DOI:10.1016/j.eats.2024.102958
Objective:
To present a novel surgical technique utilizing a dermal allograft in a “parachute” configuration for augmentation of open gluteal abductor tendon repair.
Methodology:
Knotless double-row fixation with dermal allograft to enhance tendon-bone interface contact area and pressure, avoiding bulky knots to minimize soft tissue irritation.
Key Findings:
- The parachute configuration increases repair surface contact and pressure, potentially improving healing.
- Absence of bulky knots reduces postoperative soft tissue irritation.
- Dermal allograft provides supplemental mechanical stability in complex or retracted tears.
Conclusion:
This technique offers improved mechanical stability and may enhance healing and functional outcomes in challenging gluteal abductor repairs.
What Does This Mean for Providers?
- Consider the parachute technique with dermal allograft augmentation for complex or retracted gluteus medius tears to optimize repair strength.
- The knotless method may reduce postoperative soft tissue complications related to knot irritation.
- This approach can be integrated into surgical practice to improve tendon healing and patient recovery in difficult abductor repairs.