Biomechanical evaluation of subscapularis peel repairs augmented with the long head of the biceps tendon for anatomic total shoulder arthroplasty

Hawthorne, Benjamin C.; Shuman, Matthew E.; Wellington, Ian J.; Mancini, Michael R.; Hewitt, Cory R.; Dorsey, Caitlin G.; Quintana, Julio Ojea; Talamo, Michael; Obopilwe, Elifho; Cote, Mark P.; Mazzocca, Augustus D.

doi:10.1016/j.jse.2022.07.021

Cited by 6 publications

(11 citation statements)

References 27 publications

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“…The LHBT has been discussed as a suitable graft option for numerous shoulder surgery applications. 9 , 10 , 11 , 12 , 13 LHBT augmentation of rotator cuff repairs has been described in several previous case series and technique reports. 10 , 11 , 18 , 19 , 20 The LHBT has also been implicated in superior capsular reconstruction, with some studies suggested it as a biomechanically stronger graft option when compared to other grafts, including fascia lata.…”

Section: Discussionmentioning

confidence: 99%

“…compared a standard subscapularis peel repair to two peel repair methods with LHBT augmentation: 1) a single-row repair with a horizontal LHBT augmentation in an onlay fashion and 2) a single-row repair with a V-shaped LHBT augmentation, in which the LHBT is passed through the substance of the tendon in 2 passes, similar to the current technique. 9 The authors studied the cyclic displacement, load to failure, and stiffness of the repairs were measured in all 3 groups. 9 The two LHBT augmentation groups demonstrated significantly higher load to failure and stiffness when compared to the standard subscapularis peel repair group.…”

Section: Discussionmentioning

confidence: 99%

“…The long head of the biceps tendon (LHBT) has recently been described as a valuable local autograft that may reinforce various soft tissue repairs in the shoulder. 9 , 10 , 11 , 12 , 13 A recent biomechanical cadaveric study on LHBT augmentation of subscapularis repair indicated greater load to failure and stiffness of an augmented subscapularis repair compared to a standard repair of a subscapularis peel. 9 …”

mentioning

confidence: 99%

“… 9 , 10 , 11 , 12 , 13 A recent biomechanical cadaveric study on LHBT augmentation of subscapularis repair indicated greater load to failure and stiffness of an augmented subscapularis repair compared to a standard repair of a subscapularis peel. 9 …”

mentioning

confidence: 99%

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Subscapularis Repair Augmentation With the Long Head Biceps Tendon During Anatomic Total Shoulder Arthroplasty: The “Biceps-Subscap Sling” Technique

Cohn,

Fares,

Koa

et al. 2023

Arthroscopy Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Subscapularis Repair Augmentation With the Long Head Biceps Tendon During Anatomic Total Shoulder Arthroplasty: The “Biceps-Subscap Sling” Technique

Cohn,

Fares,

Koa

et al. 2023

Arthroscopy Techniques

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“…This technique was chosen as the control because it is the authors’ preferred method for subscapularis repair and because the use of high-strength sutures placed in a Mason-Allen configuration has been commonly utilized in the literature. 3 , 9 , 18 First, a subscapularis peel was performed by sharply dissecting the subscapularis tendon from the lesser tuberosity using a No. 15 blade.…”

Section: Methodsmentioning

confidence: 99%

Biomechanical Evaluation of the Efficacy of Suture Tape Augmentation for Subscapularis Peel Repair

Wellington

Hewitt

Hawthorne

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Failure of a subscapularis repair construct after anatomic total shoulder arthroplasty can result in difficulty with internal rotation and an increased likelihood of dislocation. Although suture tape has been demonstrated to be an efficacious augment for tendonous repairs elsewhere in the body, it has not been investigated as a method for augmenting subscapularis peel repairs. Purpose: To determine the biomechanical efficacy of suture tape augmentation for the repair of a subscapularis peel. Study Design: Controlled laboratory study. Methods: Twelve human cadaveric shoulders underwent a subscapularis peel. Specimens were randomly split into 2 groups: 6 specimens underwent repair using a transosseous bone tunnel technique with 3 high-strength sutures placed with a Mason-Allen configuration (control group), and 6 specimens underwent the control repair using augmentation with 2 suture tapes placed in an inverted mattress fashion and secured to the proximal humerus using a suture anchor (augmentation group). Shoulders underwent biomechanical testing to compare repair displacement with cyclic loading, load at ultimate failure, and construct stiffness. Results: There were no significant between-group differences in displacement after cyclic loading at the superior ( P = .87), middle ( P = .47), or inferior ( P = .77) portions of the subscapularis tendon. Load to failure was significantly greater in the augmentation group (585.1 ± 97.4 N) than in the control group (358.5 ± 81.8 N) ( P = .001). Stiffness was also greater in the augmentation group (71.8 ± 13.7 N/mm) when compared with the control group (48.7 ± 5.7 N/mm) ( P = .003). Conclusion: Subscapularis peel repair with augmentation via 2 inverted mattress suture tapes secured with an anchor in the proximal humerus conferred significantly greater load at ultimate failure and construct stiffness when compared with a traditional repair using 3 Mason-Allen sutures. There was no difference in repair displacement with cyclic loading between the repair groups. Clinical Relevance: Suture tape augmentation of subscapularis peel repairs after shoulder arthroplasty provides an effective segment to the strength of the repair.

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Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty

Martinho,

Zbinden,

Elsenbsy

et al. 2024

Arthroscopy Techniques

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Biomechanical evaluation of subscapularis peel repairs augmented with the long head of the biceps tendon for anatomic total shoulder arthroplasty

Cited by 6 publications

References 27 publications

Subscapularis Repair Augmentation With the Long Head Biceps Tendon During Anatomic Total Shoulder Arthroplasty: The “Biceps-Subscap Sling” Technique

Subscapularis Repair Augmentation With the Long Head Biceps Tendon During Anatomic Total Shoulder Arthroplasty: The “Biceps-Subscap Sling” Technique

Biomechanical Evaluation of the Efficacy of Suture Tape Augmentation for Subscapularis Peel Repair

Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty

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