Anterior Cable Reconstruction Using Autologous Long Head of the Biceps Tendon for Massive Irreparable Rotator Cuff Tears

Abstract

Massive rotator cuff tears (MRCT) are a challenging problem in young and active patients. Despite advances in surgical repair techniques, retear rates remain high. The long head of the biceps tendon (LHBT) can be used as an autologous tissue for anterior cable reconstruction to augment MRCT repairs. Current data suggests decreased retear rate and improved functional outcomes. The anterior cable procedure with the LHBT should be considered as an additional option within the MRCT algorithm, given its potential benefits.