TechniquesRotator Cuff Augmentation Using Semitendinosus Tendon AutograftClitherow, Harry D.S. MBChB, FRACS*,†; Bain, Gregory I. MBBS, PhD, FA(Orth)A, FRACS‡Author Information *Department of Orthopaedics and Trauma, Modbury Public Hospital †Department of Orthopaedics and Trauma, Royal Adelaide Hospital ‡Department of Orthopaedic Surgery, Flinders University of South Australia, Adelaide, SA, Australia The authors declare no conflict of interest. Reprints: Harry D.S. Clitherow, MBChB, FRACS, 196 Melbourne Street, North Adelaide, SA 5006, Australia (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: June 2015 - Volume 16 - Issue 2 - p 43-46 doi: 10.1097/BTE.0000000000000049 Buy Metrics Abstract The ideal surgical management of retracted rotator cuff tears has not been defined. Retraction of the tendon can make repair to the anatomic footprint on the humerus impossible. Various techniques have been described to address this problem, including medial repair, allograft and xenograft augmentation, but the results of these procedures have been mixed. The authors describe a hamstring tendon autograft reconstruction to augment the retracted rotator cuff tendons, allowing repair to the anatomic footprint of the humerus. Using this technique the length of the grafted muscle-tendon unit can be restored. The expense and potential complications associated with allograft and xenograft techniques are avoided. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.