Anterior Cable Reconstruction Using the Proximal Biceps Tendon for Large Rotator Cuff Defects

Anthony F De Giacomo; Maxwell C Park; Thay Q Lee

doi:10.1016/j.eats.2020.10.070

Anterior Cable Reconstruction Using the Proximal Biceps Tendon for Large Rotator Cuff Defects

Arthrosc Tech. 2021 Mar 10;10(3):e807-e813. doi: 10.1016/j.eats.2020.10.070. eCollection 2021 Mar.

Authors

Anthony F De Giacomo¹, Maxwell C Park¹, Thay Q Lee²

Affiliations

¹ Southern California Permamente Medical Group, Woodland Hills.
² Orthopaedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, California, U.S.A.

Abstract

Tears of the rotator cuff tendons can occur that do not allow anatomic footprint restoration yet may not be large enough to require a superior capsular reconstruction technique. Typically, these intermediate-sized tears are addressed with a medialized repair or partial repair technique. A partially repaired rotator cuff tendon, however, can lead to a high retear rate, as the repaired tendon is required to serve as both a dynamic tendon and a static ligamentous stabilizer. One potential static support, as a nearby autologous graft donor, is the proximal long head biceps tendon. The purpose of this Technical Note is to describe a surgical technique for an anterior cable reconstruction using the proximal biceps tendon for large rotator cuff defects.