Staged Arthroscopic Rotator Cuff Repair with a Bridging Acellular Human Dermal Graft in the Treatment of Infection Following Open Rotator Cuff Repair: A Case Report.

A lthough infection after rotator cuff repair occurs infrequently, it can be a catastrophic complication. To the best of my knowledge, there are only a small number of reports in the literature regarding management of these infections, and none of these report the outcome of a staged arthroscopic approach. Once the infection has resolved, reconstruction of the residual rotator cuff defect can present a substantial challenge for the treating orthopaedic surgeon. The purpose of this report is to present the clinical, functional, and magnetic resonance imaging (MRI) results of an all-arthroscopic approach for the management of a massive rotator cuff tear defect resulting from an infection after an initial open rotator cuff repair. The patient was informed that data concerning his case would be submitted for publication, and he provided consent.