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...

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Main Authors: Mohamed Gamal Morsy, M.D., Hesham Mohamed Gawish, M.D.
Format: Article
Language:English
Published: Elsevier 2023-12-01
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.
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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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