Arthroscopic Transtendinous Biceps Tenodesis With All-Suture Anchor

Shih, Chien-An; Chiang, Florence L.; Hong, Chih-Kai; Lin, Cheng-Wei; Wang, Ping-Hui; Jou, I‐Ming; Su, Wei-Ren

doi:10.1016/j.eats.2017.01.018

Cited by 11 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Arthroscopic suprapectoral biceps tenodesis has been described with use of various fixation methods and alternative exposures and preparation. 11 , 25 , 34 , 35 Our method of an all intra-articular suprapectoral tenodesis with all-suture anchor depicts ease of use, reliability of exposure, and straightforward preparation, while minimizing risk of adverse events or complications. The all intra-articular technique, as we have described, reduces fluid extravasation and eliminates the need for preliminary subacromial decompression 34 or subdeltoid bursectomy.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Single-Portal Suprapectoral Biceps Tenodesis With All-Suture Anchor

Kannan

Cogan

Zhang

2022

Arthroscopy Techniques

View full text Add to dashboard Cite

Tenodesis of the long head of the biceps tendon can be performed through arthroscopic and open techniques with various fixation methods and at different locations on the humerus. Many techniques have been described, with controversy surrounding the advantages and disadvantages of each. In this Technical Note, we describe an allarthroscopic, intra-articular, single-portal, suprapectoral biceps tenodesis with an all-suture anchor. This technique also allows for suture passage through the biceps tendon before tenotomy to ensure proper maintenance of the lengthetension relationship of the biceps musculotendinous unit.

show abstract

Section: Discussionmentioning

confidence: 99%

Arthroscopic Single-Portal Suprapectoral Biceps Tenodesis With All-Suture Anchor

Kannan

Cogan

Zhang

2022

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…1,9,10 The first technique utilizes a transtendinous all-suture anchor with a suture wrap technique to secure the tendon for fixation. 10 Compared with the Loop ’n’ Tack, this technique is similar in that operative time is reduced, but the wrapping suture technique requires knot tying over the long head of the biceps (LHB) tendon, which can lead to irritation. The Loop ’n’ Tack avoids this specific issue because the suture construct requires no knot tying for fixation.…”

Section: Discussionmentioning

confidence: 99%

The Loop ’n’ Tack Knot: Biomechanical Analysis of a Novel Suture Technique for Proximal Biceps Tenodesis

Acosta

Rinaldi

Guth

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Secure tendon grasping is critical to the success of any tenodesis procedure. Several techniques currently used for tendon grasping can result in longitudinal splitting of the tendon, causing construct failure and failure of the tenodesis. Purpose: To compare the Loop ’n’ Tack knot as a tendon-grasping technique with other common suture techniques. We investigated the biomechanical strength and mode of failure. Study Design: Controlled laboratory study. Methods: Eleven matched pairs of proximal biceps were harvested from fresh-frozen cadaveric shoulders. One tendon from each pair was stitched using 1 of 4 different techniques. The suture techniques evaluated included the Loop ’n’ Tack with 2 different types of high-strength nonabsorbable suture, a double half-racking stitch, and a Krakow stitch. Samples were cyclically loaded between 5 and 20 N for 100 cycles, followed by a pull to failure at 33 mm/s. Results: The Loop ’n’ Tack techniques were equivalent to the double half-racking and Krakow techniques for load to ultimate failure ( P = .817 and P = .984, respectively). The double half-racking technique was the stiffest construct, which was significantly greater than the second-stiffest group, the Loop ’n’ Tack method with both FiberLink suture ( P = .012) and SutureTape ( P = .002), which had greater stiffness than the Krakow group ( P < .001). The most common failure mode for the Loop ’n’ Tack stitch was suture breakage compared with the Krakow and double half-racking methods, where the most common mode of failure was suture pullout from the tendon ( P < .001). Conclusion: Biomechanical testing found that the Loop 'n’ Tack techniques had similar ultimate load to failure values when compared with the double half-racking and Krakow methods. Mode-of-failure analysis showed that the Loop 'n’ Tack construct typically failed by suture breakage, whereas the other techniques failed by suture pullout. Clinical Relevance: The Loop 'n’ Tack technique allows for secure grasping of tissue without the need for externalization of the tendon. This technique may be beneficial in compromised or poor-quality tissue without reducing overall pullout strength when compared with a standard half-racking or Krakow stitch.

show abstract

“…Suture anchors offer a possible alternative to bulky interlocking screws and can be used in both arthroscopic and open procedures 56-59 . By minimizing the size of the required hole, the risk of fracture of the humerus is reduced 58,60 .…”

Section: Decision-making For Lhbt Pathologymentioning

confidence: 99%

Current Controversies and Decision-Making in the Management of Biceps Pathologies

et al. 2021

View full text Add to dashboard Cite

Biceps tendon pathologies include a spectrum of injuries that range from mild tendinosis to complete tendon rupture.Tendinosis, the most common pathology, occurs more frequently with age and is likely related to chronic degeneration. On the other side of the spectrum of severity lies a rupture of the long head of the biceps tendon (LHBT), which may be accompanied by injury to the glenoid labrum.Superior labral anterior-posterior (SLAP) tears are frequently associated with biceps pathology. Surgical management for injuries of the bicipital-labral complex includes biceps tenodesis or tenotomy and SLAP repair. A consensus as to which of these procedures is the optimal choice has not been reached, and management may ultimately depend on patient-specific characteristics.Due to the relatively low incidence of distal biceps tendon rupture, agreement on the optimal management strategy has not been reached. Surgical repair, or reconstruction in the case of a chronic rupture, is often chosen. However, nonoperative management has also been utilized in older, less-active patients.

show abstract

Arthroscopic Transtendinous Biceps Tenodesis With All-Suture Anchor

Cited by 11 publications

References 23 publications

Arthroscopic Single-Portal Suprapectoral Biceps Tenodesis With All-Suture Anchor

Arthroscopic Single-Portal Suprapectoral Biceps Tenodesis With All-Suture Anchor

The Loop ’n’ Tack Knot: Biomechanical Analysis of a Novel Suture Technique for Proximal Biceps Tenodesis

Current Controversies and Decision-Making in the Management of Biceps Pathologies

Contact Info

Product

Resources

About