2017 ISAKOS Biennial Congress IFOSMA ePoster #5053

 

Augmentation of the long head of the biceps tendon for irreparable massive rotator cuff tear

Binsong Qiu, Hangzhou, Zhejiang CHINA
Jihang Chen, Hangzhou, Zhejiang CHINA

Zhenjiang provincial people's hospital, hangzhou, zhejiang, china

FDA Status Not Applicable

Summary

Numerous operative techniques have been described for the treatment of massive rotator cuff tears with severe retraction where anatomical repair is impossible, and numerous augmentation of the long head of the biceps tendon operative techniques of have been described for the treatment of irreparable massive rotator cuff tear. but there was no very good methods to treatment of irreparable massive rotator cuff tear.

Abstract

Purpose

The purpose of this study was to evaluate the value of Augmentation of the long head of the biceps tendon for irreparable massive rotator cuff tear
.

Methods

11 shoulders with irreparable massive rotator cuff tears treated with augmentation of the long head of biceps tendon were included for analysis. The patients were under general anesthesia. We first partially repaired the repairable portion of the rotator cuff, and then adopted the long head of the biceps tendon to repair and augment the irreparable part of the supraspinatus. The proximal attachment of the long head of the biceps tendon was preserved, and the distal part of the long head of the biceps tendon was cut off near the pectoralis major tendon. Next we folder the tendon into double strand, fixed the distal end into the border of greater tubercle, and bridged the other end with supraspinatus. The side of the tendon was sutured with the front of the infraspinatus. After operation, we did follow up regularly and evaluated the shoulder pain and function.

Results

11 cases of rotator cuff tear were followed up. The mean follow-up period was 8 months (range, 6-13 months). The mean University of California at Los Angeles (UCLA)score at 3 months of post-operation was 24.5± 2.3 point, and at the last follow-up that was 30.1± 3.2 point. The mean Visual Analogue Scale (VAS) of pain at 3 months of post-operation was 3.3 ± 1.2 point, and at last follow-up that was 2.8± 0.9 point.

Conclusion

The long head of the biceps tendon augmentation technique for irreparable massive rotator cuff tears offers a possible improvement in shoulder function and the clinical outcomes.