ArticleVideo journal of sports medicine
Biceps Anterior Cable Reconstruction for Massive Rotator Cuff Tears.
Article in Video journal of sports medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Massive rotator cuff tears (MRCTs) involving the rotator cable are associated with increased tendon retraction, fatty infiltration, and high retear rates after repair. Biceps anterior cable reconstruction (ACR) is a surgical technique that augments rotator cuff repair by reconstructing the anterior cable with the long head of the biceps tendon (LHBT), improving greater tuberosity coverage and biomechanical stability. Indications: Biceps ACR is indicated for full-thickness MRCTs with anterior cable involvement in patients with an intact LHBT and no advanced glenohumeral arthritis. Risk factors for repair failure, including the full-thickness retracted pattern of a tear, patient age, and activity level, are considered when deciding to add a concomitant ACR. Technique Description: A knotless repair stitch from an anchor at the anteromedial footprint of the greater tuberosity is passed circumferentially around the proximal LHBT. The biceps is left attached to the glenoid, and the repair stitch is tightened, which reduces the biceps tendon to the anterior aspect of the greater tuberosity. This allows the biceps tendon to slide and find its optimal tension, tenodeses the biceps tendon to the greater tuberosity, and reconstructs the anterior cable. This provides greater tuberosity coverage and reduces the tear distance. The remaining sutures from the anteromedial anchor can be passed through the rotator cuff. The remaining rotator cuff can be repaired using a variety of standard techniques. Simple side-to-side stitches can be placed in the biceps tendon and rotator cuff as needed. Results: Biceps ACR improves greater tuberosity coverage and enhances biomechanical stability by decreasing superior translation and subacromial contact pressure. Clinical studies have demonstrated excellent patient-reported outcomes and lower retear rates when biceps ACR is added to arthroscopic rotator cuff repair. Discussion/Conclusion: Biceps ACR is a viable option for MRCTs with anterior cable involvement and a high risk for failure. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.