Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty
Access to the glenohumeral joint during a deltopectoral approach to total shoulder arthroplasty (TSA) often requires some form of subscapularis (SSc) tendon detachment, which may lead to iatrogenic damage and insufficiency of a previously healthy structure. Despite optimization of SSc management tec...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002779 |
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| author | Tiago Martinho, M.D. Jeanni Zbinden, M.D. Alaa Elsenbsy, M.D. Alexandre Lädermann, M.D. |
| author_facet | Tiago Martinho, M.D. Jeanni Zbinden, M.D. Alaa Elsenbsy, M.D. Alexandre Lädermann, M.D. |
| author_sort | Tiago Martinho, M.D. |
| collection | DOAJ |
| description | Access to the glenohumeral joint during a deltopectoral approach to total shoulder arthroplasty (TSA) often requires some form of subscapularis (SSc) tendon detachment, which may lead to iatrogenic damage and insufficiency of a previously healthy structure. Despite optimization of SSc management techniques, the overall repair failure rate remains high. Although various biological and structural augmentation methods have been advocated to enhance healing of rotator cuff repairs, few options have yet been explored for SSc repair after TSA. In this Technical Note, we describe a method involving the long head of the biceps tendon as a pediculated autograft to reinforce the SSc repair after anatomic or reverse TSA. After long head of the biceps tendon tenodesis, its proximal part is released from the supraglenoid tubercle while remaining in its groove to be subsequently placed at the rotator interval and sutured either to the SSc, the supraspinatus, or the entire anterosuperior rotator cuff on an individual basis. Repurposing the otherwise-discarded tendon brings several mechanical and biological advantages for SSc repair healing at low cost and without donor-site morbidity. |
| format | Article |
| id | doaj-art-f07e8444bd124ac284a393fde82cc66f |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-f07e8444bd124ac284a393fde82cc66f2025-01-30T05:14:03ZengElsevierArthroscopy Techniques2212-62872025-01-01141103152Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder ArthroplastyTiago Martinho, M.D.0Jeanni Zbinden, M.D.1Alaa Elsenbsy, M.D.2Alexandre Lädermann, M.D.3Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Address correspondence to Tiago Martinho, M.D., Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Av. J.-D. Maillard 3, CH-1217 Meyrin, Switzerland.Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland; Faculty of Medicine, University of Geneva, Geneva, SwitzerlandDepartment of Orthopedic and Trauma Surgery, Faculty of Medicine, South Valley University, Qena, EgyptDivision of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, SwitzerlandAccess to the glenohumeral joint during a deltopectoral approach to total shoulder arthroplasty (TSA) often requires some form of subscapularis (SSc) tendon detachment, which may lead to iatrogenic damage and insufficiency of a previously healthy structure. Despite optimization of SSc management techniques, the overall repair failure rate remains high. Although various biological and structural augmentation methods have been advocated to enhance healing of rotator cuff repairs, few options have yet been explored for SSc repair after TSA. In this Technical Note, we describe a method involving the long head of the biceps tendon as a pediculated autograft to reinforce the SSc repair after anatomic or reverse TSA. After long head of the biceps tendon tenodesis, its proximal part is released from the supraglenoid tubercle while remaining in its groove to be subsequently placed at the rotator interval and sutured either to the SSc, the supraspinatus, or the entire anterosuperior rotator cuff on an individual basis. Repurposing the otherwise-discarded tendon brings several mechanical and biological advantages for SSc repair healing at low cost and without donor-site morbidity.http://www.sciencedirect.com/science/article/pii/S2212628724002779 |
| spellingShingle | Tiago Martinho, M.D. Jeanni Zbinden, M.D. Alaa Elsenbsy, M.D. Alexandre Lädermann, M.D. Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty Arthroscopy Techniques |
| title | Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty |
| title_full | Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty |
| title_fullStr | Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty |
| title_full_unstemmed | Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty |
| title_short | Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty |
| title_sort | long head of the biceps tendon pediculated autograft augmentation of subscapularis repair during total shoulder arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724002779 |
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