Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair
Arthroscopic repair of massive retracted rotator cuff tears is very challenging with a high incidence of retears. Many techniques have been described to improve the outcomes of arthroscopic repair. In this technique, a superior capsular reconstruction using the long head of the biceps is combined wi...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Elsevier
2023-12-01
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Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628723002384 |
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author | Mohamed Gamal Morsy, M.D. Hesham Mohamed Gawish, M.D. |
author_facet | Mohamed Gamal Morsy, M.D. Hesham Mohamed Gawish, M.D. |
author_sort | Mohamed Gamal Morsy, M.D. |
collection | DOAJ |
description | Arthroscopic repair of massive retracted rotator cuff tears is very challenging with a high incidence of retears. Many techniques have been described to improve the outcomes of arthroscopic repair. In this technique, a superior capsular reconstruction using the long head of the biceps is combined with margin convergence repair aimed at improving the mechanical strength of the repair. The long head of the biceps is used as a superior capsular reconstruction to stabilize the humeral head and prevent proximal migration. Moreover, margin convergence provides an efficient gap filling between remnants of the supraspinatus and infraspinatus tendons to restore an efficient rotator repair in anatomical, biological, and tension-free fashion. |
first_indexed | 2024-03-08T20:11:29Z |
format | Article |
id | doaj.art-c062fe5be20742669ab5ac44ff47b0f8 |
institution | Directory Open Access Journal |
issn | 2212-6287 |
language | English |
last_indexed | 2024-03-08T20:11:29Z |
publishDate | 2023-12-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroscopy Techniques |
spelling | doaj.art-c062fe5be20742669ab5ac44ff47b0f82023-12-23T05:20:38ZengElsevierArthroscopy Techniques2212-62872023-12-011212e2187e2195Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence RepairMohamed Gamal Morsy, M.D.0Hesham Mohamed Gawish, M.D.1Department of Orthopedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Alexandria, Egypt; Address correspondence to Mohamed Gamal Morsy, M.D., Department of Orthopedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Faculty of Medicine, Champollion Street, El-Khartoum Square, El Azareeta Medical Campus, Alexandria, Egypt.Department of Orthopedic Surgery and Traumatology, Kafr el-sheik University, Kafr Elsheikh, EgyptArthroscopic repair of massive retracted rotator cuff tears is very challenging with a high incidence of retears. Many techniques have been described to improve the outcomes of arthroscopic repair. In this technique, a superior capsular reconstruction using the long head of the biceps is combined with margin convergence repair aimed at improving the mechanical strength of the repair. The long head of the biceps is used as a superior capsular reconstruction to stabilize the humeral head and prevent proximal migration. Moreover, margin convergence provides an efficient gap filling between remnants of the supraspinatus and infraspinatus tendons to restore an efficient rotator repair in anatomical, biological, and tension-free fashion.http://www.sciencedirect.com/science/article/pii/S2212628723002384 |
spellingShingle | Mohamed Gamal Morsy, M.D. Hesham Mohamed Gawish, M.D. Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair Arthroscopy Techniques |
title | Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair |
title_full | Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair |
title_fullStr | Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair |
title_full_unstemmed | Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair |
title_short | Double Attack Repair for Massive Rotator Cuff Tears: Superior Capsular Reconstruction Using the Long Head of Biceps Tendon Plus Margin Convergence Repair |
title_sort | double attack repair for massive rotator cuff tears superior capsular reconstruction using the long head of biceps tendon plus margin convergence repair |
url | http://www.sciencedirect.com/science/article/pii/S2212628723002384 |
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