The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Lafosse, Thibault; Kopel, Luc; Beckers, Joris; Lafosse, Laurent

doi:10.1016/j.eats.2021.04.012

Cited by 9 publications

(8 citation statements)

References 16 publications

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“…Through the anterior portal, the LHBT was fixed intra-articularly about 2 cm distal to its origin. Minitape (Smith+Nephew) and Firstpass or Firstpass Mini (Smith+Nephew) were used with the double lasso-loop technique as described by Lafosse et al 18 , 19 …”

Section: Methodsmentioning

confidence: 99%

Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor

Bischofreiter,

Gattringer,

Gruber

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: The long head of the biceps tendon (LHBT) is a well-known source of pain in the shoulder, especially in active patients. Purpose: To evaluate the outcomes and return-to-sports rate after all-arthroscopic suprapectoral tenodesis of the LHBT using a small knotless anchor. Study Design: Case series; Level of evidence, 4. Methods: In this retrospective study, 27 patients—who underwent all-arthroscopic tenodesis of the LHBT using a 2.7-mm knotless polyether ether ketone anchor—were evaluated. Sports activities, the return-to-sports rate, and other sports-related parameters (eg, pain during sports, level of sports) were examined. Sports-related data, the Constant score with isometric force (at 90° of abduction in the scapular plane), the American Shoulder and Elbow Surgeons (ASES) score, the Simple Shoulder Test (SST) score, the visual analog scale (VAS) score for satisfaction, range of motion, and the presence of a Popeye deformity were assessed at a mean follow-up of 15.3 ± 8.7 months. The data were initially analyzed using descriptive statistics. Results: The postoperative ASES, Constant, and SST scores were 81.61, 85.74 and 8.85, respectively. Of the 27 patients, 4 patients (14.8%) showed a Popeye deformity. Preoperatively, 25 patients (92.6%) participated regularly in some type of sports activity. All 25 patients (100.0%) were able to return to sports activities after surgery. 24 (96.0%) returned to the same level preoperatively, with 88.0% (22/25) within 6 months. Patient satisfaction with the outcome was high (VAS score: 2.15 ± 2.78). Neither bicipital groove pain nor cramping was reported. There were no signs of osteolytic bone around the anchor or a fracture of the humeral bone. Conclusion: Our clinical results after using a 2.7-mm knotless anchor for LHBT tenodesis as well as the return-to-sports rate were satisfying. Using an anchor this size can lower the risk of cortical bone damage and therefore the risk of fractures of the humeral head while still enabling patients to perform at a high level.

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Section: Methodsmentioning

confidence: 99%

Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor

Bischofreiter,

Gattringer,

Gruber

et al. 2024

Orthopaedic Journal of Sports Medicine

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“…The working portals were: D-anterolateral, E-anterior (corresponding to the rotator interval) and B 0 -inferior posterolateral for the Hill-Sachs remplissage (Figures 2 and 3; Video S1). 14 The arthroscopic round-diagnostic identified a superior labral tear (SLAP), as well as an engaging Hill-Sachs lesion. The dynamic testing conducted during arthroscopy revealed the occurrence of anterior dislocation when passive external rotation was coupled with abduction of the arm.…”

Section: Arthroscopic Technique With Photographic and Video Illustrationmentioning

confidence: 99%

“…A free suture tape (Arthrex, Naples, FL, USA) was inserted into the LHBT and a 360° pretzel like lasso was performed into and around the tendon, as demonstrated by Popescu et al . for dynamic anterior stabilization 9,14 . Suture ends were then retrieved through the E portal.…”

Section: Materials and Technical Notementioning

confidence: 99%

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Dynamic Anterior Stabilization with Hill‐Sachs Remplissage Can be Employed in Skeletally Immature Patients—Operative Technique

Neculau,

Avram,

Simion

et al. 2024

Orthopaedic Surgery

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BackgroundNumerous studies indicate that glenoid bony augmentation raises the risk of complications during and after surgery. On the other hand, repairing the labrum alone in cases with subcritical glenoid bone loss results in recurrent instability and persistent apprehension. As a result, recent advancements in shoulder instability surgery prioritize fully restoring the anterior shoulder restraint.Operative TechniqueA novel method for treating recurrent anterior shoulder instability with subcritical glenoid bone loss and off‐track Hill‐Sachs lesion in skeletally immature patients is suggested: the use of dynamic anterior stabilization technique incorporating the long head of the biceps tendon onto the anterior glenoid rim via trans‐subscapular transfer, in conjunction with Hill‐Sachs remplissage. A practical, step‐by‐step surgical technique for a complete reconstruction of the anterior capsule‐labral‐ligamentous complex is provided. This involves utilizing a soft‐tissue dynamic anterior sling, achieved through the trans‐subscapularis transfer of the long head of the biceps tendon at the glenoid level. The procedure concludes with a Hill‐Sachs remplissage to further prevent off‐track events and alleviate apprehension.ConclusionDynamic anterior stabilization is a suitable approach for addressing recurring anterior shoulder instability in skeletally immature patients who have subcritical glenoid bone loss and bipolar bone lesions.

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“…Intraoperative 4D code was: RD0BP300AC. 15 Bicipital tenodesis in the bicipital groove 14 ( Fig. 2 , D ) was performed with a 4.5 Mitek Healix Advance BR DS anchor (DePuy Synthes, Raynham, MA, USA).…”

Section: Case Reportmentioning

confidence: 99%

The 360 Double Lasso Loop for Biceps Tenodesis: Tips and Tricks

Cited by 9 publications

References 16 publications

Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor

Return to Sports and Clinical Results After All-Arthroscopic Biceps Tenodesis Using a 2.7-mm Knotless PEEK Suture Anchor

Dynamic Anterior Stabilization with Hill‐Sachs Remplissage Can be Employed in Skeletally Immature Patients—Operative Technique

Isolated traumatic full-thickness supraspinatus tear with intact glenohumeral capsule: a case report

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