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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Main Authors: Egbert J.D. Veen, M.D., Cornelis T. Koorevaar, M.D., Ph.D., Ronald L. Diercks, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2018-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718300355
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spelling 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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