The comparison of macroscopic and histologic healing of side-to-side (SS) tenorrhaphy technique and primer tendon repair in a rabbit model

Doğramacı, Yunus; Uruç, Vedat; Özden, Raif; Duman, İbrahim; Kalacı, Aydıner; Altuğ, Muhammed Enes; İşler, Cafer Tayar; Atık, Esin

doi:10.1007/s00402-014-2010-z

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…Side-to-side repair of the tendon formed a fibrovascular sheath around the repaired tendon; however, few interdigitations were observed between the tendons. 7 Likewise, tendon-to-tendon healing seems not to occur between suture-tied supraspinatus and augmented biceps tendons. Duralde and Bair 8 documented that closing the defect of the torn rotator cuff tendon was less important in the treatment of rotator cuff tears than the re-establishment of stable fulcrum kinematics and may temporarily act as a watertight seal.…”

Section: Discussionmentioning

confidence: 99%

Does Additional Biceps Augmentation Improve Rotator Cuff Healing and Clinical Outcomes in Anterior L-Shaped Rotator Cuff Tears? Clinical Comparisons With Arthroscopic Partial Repair

et al. 2017

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There was no significant difference in the clinical outcomes and retear rate of anterior L-shaped tears between biceps augmentation and partial tendon repair. Additional biceps augmentation proved to have no enhancement in tendon healing. A precise method such as only partial tendon repair for reducing the footprint exposure without undue tension may be considered as one of the treatment options for large anterior L-shaped rotator cuff tears.

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Section: Discussionmentioning

confidence: 99%

Does Additional Biceps Augmentation Improve Rotator Cuff Healing and Clinical Outcomes in Anterior L-Shaped Rotator Cuff Tears? Clinical Comparisons With Arthroscopic Partial Repair

et al. 2017

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“…In our current study, re-tear of the repaired tendon occurred in nine of 30 patients with biceps augmentation. Dogramaci et al 31 demonstrated that tendon-to-tendon healing could only be obtained from end-to-end anastomosis using a rabbit model. In other anastomosis, a thick fibrovascular sheath was formed around the anastomosis, but no healing was observed between tendon tissue.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic biceps augmentation does not improve clinical outcomes during incomplete repair of large to massive rotator cuff tears

Park

Kim

et al. 2022

The Bone & Joint Journal

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Aims This study compared patients who underwent arthroscopic repair of large to massive rotator cuff tears (LMRCTs) with isolated incomplete repair of the tear and patients with incomplete repair with biceps tendon augmentation. We aimed to evaluate the additional benefit on clinical outcomes and the capacity to lower the re-tear rate. Methods We retrospectively reviewed 1,115 patients who underwent arthroscopic rotator cuff repair for full-thickness tears between October 2011 and May 2019. From this series, we identified 77 patients (28 male, 49 female) with a mean age of 64.1 years (50 to 80). Patients were classified into groups A (n = 47 incomplete) and B (n = 30 with biceps augmentation) according to the nature of their reconstruction. Clinical scores were checked preoperatively and at six months, one year, and two years postoperatively. In preoperative MRI, we measured the tear size, the degree of fatty infiltration, and muscle volume ratio of the supraspinatus. In postoperative MRI, the integrity of the repaired rotator cuff tendon was assessed using the Sugaya classification. Tendon thickness at the footprint was evaluated on T2-weighted oblique coronal view. Results There were no significant differences in the initial preoperative demographic characteristics. In both groups, there were significant improvements in postoperative clinical scores (p < 0.001). However, most clinical outcomes, including range of motion measurements (forward elevation, external rotation, internal rotation, and abduction), showed no differences between the pre- and postoperative values. Comparing the postoperative outcomes of both groups, no further improvement from biceps augmentation was found. Group B, although not reaching statistical significance, had more re-tears than group A (30% vs 15%; p = 0.117). Conclusion In LMRCTs, biceps augmentation provided no significant improvement of an incomplete repair. Therefore, biceps augmentation is not recommended in the treatment of LMRCTs. Cite this article: Bone Joint J 2022;104-B(11):1234–1241.

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“…Likewise, tendon-to-tendon healing seems not to occur between suture-tied SP and augmented biceps tendon. 11 The present technique uses the LHBT to restrict the superior migration of the humeral head, relieving the tension over the repair of the RCT. Another differential aspect of the present technique is that a bony trough is created to fix the biceps.…”

Section: Discussionmentioning

confidence: 99%

Anterior Capsular Reconstruction With Proximal Biceps Tendon for Large to Massive Rotator Cuff Tears

Llanos-Rodríguez

Escandón-Almazán

Espejo-Reina³

et al. 2021

Arthroscopy Techniques

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Massive rotator cuff tears (RCT) have traditionally been a challenging clinical problem for shoulder surgeons. A broad variety of treatment options have been proposed to address this problem, but outcomes have been as variable as the techniques themselves. Superior capsular reconstruction has been presented as a way to restore the restraining effect of the superior joint capsule and balanced force couples in massive tears of the superior rotator cuff. The purpose of this article is to propose a technical modification of the superior capsular reconstruction in large to massive RCT, and, especially in anterior L-shaped RCT, using the long head of the biceps tendon autograft to reinforce the weakest area of the anterior capsule, not as an augmentation of the rotator cuff, but as a static stabilizer of the humeral head, allowing the rotator cuff repair to heal without tension.

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The comparison of macroscopic and histologic healing of side-to-side (SS) tenorrhaphy technique and primer tendon repair in a rabbit model

Abstract: The result of the current study showed that histological healing and union of SS tenorrhaphy differ from that in primary tendon injury and healing. Further studies are required to clarify the healing stages at the tenorrhaphy site.

Cited by 7 publications

References 25 publications

Does Additional Biceps Augmentation Improve Rotator Cuff Healing and Clinical Outcomes in Anterior L-Shaped Rotator Cuff Tears? Clinical Comparisons With Arthroscopic Partial Repair

Does Additional Biceps Augmentation Improve Rotator Cuff Healing and Clinical Outcomes in Anterior L-Shaped Rotator Cuff Tears? Clinical Comparisons With Arthroscopic Partial Repair

Arthroscopic biceps augmentation does not improve clinical outcomes during incomplete repair of large to massive rotator cuff tears

Anterior Capsular Reconstruction With Proximal Biceps Tendon for Large to Massive Rotator Cuff Tears

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