ArticleInternational orthopaedics2024
Superior capsular reconstruction with the long head of the biceps tendon achieves excellent clinical results and low rotator cuff rerupture rates one year after cuff repair surgery.
Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Arthroscopic Superior Capsular Reconstruction With Long-Head Biceps Tendon Rerouting Using Knotless Anchors.Arthroscopy techniques · 2026Article
- Long Head of the Biceps Tendon Augmentation in Massive Irreparable Rotator Cuff Tears Offers Good Clinical Results and Pain Relief With a Low Failure Rate.Orthopaedic journal of sports medicine · 2026Article
- 20° Anchor Insertion Technique Toward the Subchondral Bone in Rotator Cuff Repairs for Patients With Osteoporosis Compared With the Traditional 45° Deadman Angle.Orthopaedic journal of sports medicine · 2026Article
- A novel side-to-side triple-row repair combined with biceps tendon augmentation for massive rotator cuff tears: a case series demonstrating satisfactory short-term outcomes.BMC musculoskeletal disorders · 2025Article
- Failure of dermal allograft remodeling and integration after superior capsular reconstruction for an irreparable rotator cuff tear: a case study 70 months postimplantation.JSES international · 2025Article
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4 authors.
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Abstract
purposeTo analyze the clinical one-year evolution of healed and rerupture lesions in patients who received a rotator cuff repair plus Superior Capsular Reconstruction (SCR) with the long head of the biceps (LHB). Moreover, to compare this evolution between men and women.
methodsA pilot study was conducted on patients who underwent a rotator cuff repair plus SCR with LHB between February 2021 and June 2022. All patients completed pre-operative and one-year post-operative evaluations for tendon type of tear and tendon integrity using Magnetic Resonance Imaging (MRI)after one year of the surgery. Besides, functionality was evaluated with the American Shoulder and Elbow Surgeons (ASES) score; the visual analog scale for pain (VAS); and the Constant score.
resultsA total of 38 patients completed the one-year final evaluation, they presented an increased functionality score to 83 and 86 in Constant and ASES scales (p < .001), respectively. Besides, 84% of the patients presented a healed cuff, while rerupture occurred in 16% of the patients. There were differences between the healed and rerupture patients in the total Constant score, with a remarkable increase in the strength subscale, almost double for patients with healed cuff (p < .001); in the same way, daily life activity score, and balance subscale increased, while pain score decreased in the healed cuff group (p < .05). There was no difference in functionality between men and women (p > .05). Besides, almost all patients achieved the MCID in both ASES and Constant total scores, irrespectively of the healing group.
conclusionThe cuff repair using SCR with the LHB achieved a low percentage of rerupture and a functional improvement after one year of follow-up. Patients who healed the lesion presented more strength and better performance in daily life activities than those with cuff repurture. Thus, SCR + LHB procedure can be considered an efficient technique for rotator cuff repair surgery for both men and women. Although a comparison with a control group is needed to confirm these findings.
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