Rupture of the pectoralis major tendon is an uncommon injury but increasing in incidence. Surgical management is often needed, and ruptures treated acutely show more favorable results. However, a significant number of ruptures are missed and diagnosed later in a chronic state. Direct suture without tension is a major challenge in these cases, and interposition grafts are required.

Several techniques have been described however none uses a fascia lata autograft.

This technical note aims to describe fascia lata autograft as a valid option to treat retracted chronic pectoralis major ruptures.

IV; Study Design: Technical Note.