Pec Major Late Reconstruction
For chronic ruptures where a direct repair cannot be performed, reconstruction can be considered. We also use a modification of this for complex acute repairs that involve the muscle or musculotendinous parts of the pectoralis major.
This is usually required in heavy manual workers or professional athletes, as well as failed previous surgical repairs. I would not recommend it for cosmesis or in recreational weight trainers as it is major surgery with long recovery times and patient expectations need to be realistic.
The aims of the surgery are to improve the pec major strength and relieve the muscle cramping with manual work and sport. Cosmetic improvement is not as reliable as a primary repair procedure. Click here for Outcomes and Complications of surgery.
The surgery is done using a tendon graft. We have found Achilles tendon Allograft to be the strongest and most reliable tendon graft.
For information on tendon allografts click here.
Animation of our surgical technique:
The post-operative rehabilitation is the same as a primary repair, but it can take longer to achieve maximal recovery (up to one year after surgery).