Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears
The treatment of massive rotator cuff tears (MRCT) is challenging. Insufficient tissue quality, size, and retraction of the cuff often lead to failures of repair. Different techniques like direct repair, partial repair, and graft applications have been developed, but results are not yet predictable....
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doaj-eb978f733a4142e3945048bf897fbb182021-06-10T04:55:18ZengElsevierArthroscopy Techniques2212-62872018-07-0177e699e703Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff TearsEgbert J.D. Veen, M.D.0Cornelis T. Koorevaar, M.D., Ph.D.1Ronald L. Diercks, M.D., Ph.D.2Department of Orthopedic Surgery, University of Groningen, University Medical Center, Groningen, the Netherlands; Department of Orthopedic Surgery and Traumatology, Deventer Hospital, Deventer, the Netherlands; Address correspondence to Egbert J. D. Veen, M.D., Hanzeplein 1, Postbus 30.001, 9700 RB Groningen, the Netherlands.Department of Orthopedic Surgery and Traumatology, Deventer Hospital, Deventer, the NetherlandsDepartment of Orthopedic Surgery, University of Groningen, University Medical Center, Groningen, the NetherlandsThe treatment of massive rotator cuff tears (MRCT) is challenging. Insufficient tissue quality, size, and retraction of the cuff often lead to failures of repair. Different techniques like direct repair, partial repair, and graft applications have been developed, but results are not yet predictable. In this arthroscopic technique the objective is not to reconstruct the rotator cuff as a tissue layer but to restore the biomechanical function of the rotator cable with an autograft of the long head of the biceps tendon. After glenohumeral inspection, the long head of the biceps tendon is harvested and the retracted cuff is released and, if possible, closed partially side-to-side. The biceps graft is positioned from the posterior aspect of the greater tubercle to the superior part of the lesser tubercle and fixed with 2 biotenodesis anchors. Finally, the cuff remnants are securely sutured to the biceps graft with standard cuff repair sutures. This arthroscopic technique has several advantages because the biceps autograft is easily harvested, autologous, and rich in collagen. Previous studies show use of the biceps tendon differently for reconstruction of the rotator cuff, with promising results. Future studies are needed to evaluate clinical outcomes.http://www.sciencedirect.com/science/article/pii/S2212628718300355 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Egbert J.D. Veen, M.D. Cornelis T. Koorevaar, M.D., Ph.D. Ronald L. Diercks, M.D., Ph.D. |
spellingShingle |
Egbert J.D. Veen, M.D. Cornelis T. Koorevaar, M.D., Ph.D. Ronald L. Diercks, M.D., Ph.D. Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears Arthroscopy Techniques |
author_facet |
Egbert J.D. Veen, M.D. Cornelis T. Koorevaar, M.D., Ph.D. Ronald L. Diercks, M.D., Ph.D. |
author_sort |
Egbert J.D. Veen, M.D. |
title |
Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears |
title_short |
Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears |
title_full |
Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears |
title_fullStr |
Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears |
title_full_unstemmed |
Using the Long Head of Biceps Tendon Autograft as an Anatomical Reconstruction of the Rotator Cable: An Arthroscopic Technique for Patients With Massive Rotator Cuff Tears |
title_sort |
using the long head of biceps tendon autograft as an anatomical reconstruction of the rotator cable: an arthroscopic technique for patients with massive rotator cuff tears |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2018-07-01 |
description |
The treatment of massive rotator cuff tears (MRCT) is challenging. Insufficient tissue quality, size, and retraction of the cuff often lead to failures of repair. Different techniques like direct repair, partial repair, and graft applications have been developed, but results are not yet predictable. In this arthroscopic technique the objective is not to reconstruct the rotator cuff as a tissue layer but to restore the biomechanical function of the rotator cable with an autograft of the long head of the biceps tendon. After glenohumeral inspection, the long head of the biceps tendon is harvested and the retracted cuff is released and, if possible, closed partially side-to-side. The biceps graft is positioned from the posterior aspect of the greater tubercle to the superior part of the lesser tubercle and fixed with 2 biotenodesis anchors. Finally, the cuff remnants are securely sutured to the biceps graft with standard cuff repair sutures. This arthroscopic technique has several advantages because the biceps autograft is easily harvested, autologous, and rich in collagen. Previous studies show use of the biceps tendon differently for reconstruction of the rotator cuff, with promising results. Future studies are needed to evaluate clinical outcomes. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628718300355 |
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