Latissimus Dorsi Reconstruction with Achilles Allograft Augmentation Through a Dual Approach for Segmental Rupture: A...

Area of Science:

• Orthopedic surgery
• Sports medicine
• Tendon repair

Background:

• Latissimus dorsi (LD) tendon tears are uncommon, particularly in the general population, and often impact athletes.
• Acute injuries can lead to full-thickness myotendinous tears of the LD.

Purpose of the Study:

• To describe a case of latissimus dorsi (LD) tendon reconstruction using an Achilles tendon allograft.
• To evaluate the efficacy of this reconstructive approach in restoring function and strength.

Main Methods:

• Presentation of a 55-year-old male patient with an isolated latissimus dorsi (LD) tendon tear following acute injury.
• Surgical reconstruction of the LD tendon utilizing an Achilles tendon allograft due to poor native tendon quality.
• Postoperative assessment of patient outcomes, including satisfaction, strength, and range of motion.

Main Results:

• The patient reported excellent satisfaction with the surgical outcome.
• Full return to preinjury levels of strength and motion was achieved.
• No postoperative complications were observed.

Conclusions:

• Latissimus dorsi (LD) tendon tears are rare and predominantly seen in athletic individuals.
• Reconstruction of the latissimus dorsi (LD) tendon with an Achilles tendon allograft is a viable and effective treatment option.
• This surgical approach facilitates a return to full function and strength for affected patients.