Key result
Anterior cable reconstruction using the long head of the biceps tendon for reinforcement of arthroscopic rotator cuff repair yielded a retear rate of 4.9% versus 7.1% for repair alone, and significantly increased postoperative acromiohumeral distance.
Why the study?
To investigate whether anterior cable reconstruction using the long head of the biceps tendon for reinforcement before ARCR prevented retear after ARCR in large to massive rotator cuff tears with anterior cable disruption.
Does anterior cable reconstruction using the long head of the biceps tendon prevent retear and improve acromiohumeral distance in patients undergoing arthroscopic rotator cuff repair for large to massive tears?
Cohort (n=125)
No
Does anterior cable reconstruction using the long head of the biceps tendon prevent retear and improve acromiohumeral distance in patients undergoing arthroscopic rotator cuff repair for large to massive tears?
Absolute Event Rate: 4.9% vs 7.1%
p-value: p=0.07
Anterior cable reconstruction using the long head of the biceps tendon during arthroscopic rotator cuff repair may reduce retear rates and improve acromiohumeral distance in patients with large to massive tears.
ACR with LHBT was associated with lower retear rates after ARCR; leaves open whether this extends to routine practice without randomized confirmation.
Anterior cable reconstruction (ACR) using the long head of the biceps tendon (LHBT) was developed to place at the native superior capsule attachment site for large to massive rotator cuff tears (LMRCTs) with anterior cable disruption. In this study, we investigated whether ACR for reinforcement before ARCR prevented retear after arthroscopic rotator cuff repair (ARCR), especially in cases of LMRCTs with anterior cable disruption. A total of 125 patients who underwent arthroscopic rotator cuff repair (ARCR) for LMRCTs were retrospectively enrolled. To assess the benefit of ACR with LHBT, all data were compared with those after ARCR alone. As a result, ACR with LHBT showed satisfactory clinical and radiologic outcomes in comparison with conventional ARCR only technique. ACR with LHBT prevented retear after ARCR and improved the AHD, although There was no difference of clinical outcomes between two groups.
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Seo et al. (2021) conducted a cohort in Large to massive rotator cuff tears with anterior cable disruption (n=125). Anterior cable reconstruction using the long head of the biceps tendon vs. Arthroscopic rotator cuff repair alone was evaluated on Retear rate (p=0.07). Anterior cable reconstruction using the long head of the biceps tendon for reinforcement of arthroscopic rotator cuff repair yielded a retear rate of 4.9% versus 7.1% for repair alone, and significantly increased postoperative acromiohumeral distance.
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