No Difference In Clinical Outcomes Following Repair of Large Retracted Anterior Rotator Cuff Tears Using Patch Augmentation With Human Dermal Allograft Versus Anterior Cable Reconstruction With Biceps Tendon Autograft

Outcomes of Superior Capsular Reconstruction Using the Long Head of the Biceps Tendon in Large to Massive Rotator Cuff Tears: A Meta-Analysis and Systematic Review

“…Recent biomechanical studies utilizing cadaver models have confirmed that SCR with LHBT graft provides sufficient failure strength compared to SCR using a tensor fascia lata autograft [10,20,34,35]. Consequently, various surgical techniques using LHBT grafts for SCR have been introduced and are gaining considerable attention [14][15][16][17].…”

“…Fourthly, inconsistent documentation and analysis of potential risk factors and confounding variables, such as smoking, body mass index, diabetes, and augmentation techniques, limits definitive conclusions about their impact on outcomes [50][51][52][53][54][55]. Previous studies comparing patch augmentation with the SCR group yielded conflicting results [7,15]. Comparative studies considering multiple variables are needed for a comprehensive understanding.…”

“…Recently, the long head of the biceps tendon (LHBT) has emerged as an alternative to standard SCR grafts. SCR using LHBT has been described in various ways, such as biceps rerouting, biceps transposition, superior capsular augmentation, and anterior cable reconstruction [14][15][16][17][18][19]. This method involves preserving the LHBT's natural attachment on the glenoid side and moving the proximal part backward, making it biomechanically comparable to SCR using a tensor fascia lata (TFL) autograft [10,20].…”

“…This method involves preserving the LHBT's natural attachment on the glenoid side and moving the proximal part backward, making it biomechanically comparable to SCR using a tensor fascia lata (TFL) autograft [10,20]. Notably, this technique not only offers a local autologous source of collagen graft but also enables entirely arthroscopic procedures, minimizing donor site morbidity [14][15][16][17][18][19].…”