PMID- 34988632
OWN - NLM
STAT- MEDLINE
DCOM- 20220525
LR  - 20220525
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 30
IP  - 6
DP  - 2022 Jun
TI  - Biceps-incorporating rotator cuff repair with footprint medialization in 
      large-to-massive rotator cuff tears.
PG  - 2113-2122
LID - 10.1007/s00167-021-06829-9 [doi]
AB  - PURPOSE: In large-to-massive rotator cuff tears (MRCTs), incorporating the long 
      head of the biceps tendon (LHBT) with arthroscopic partial rotator cuff and 
      margin convergence can improve clinical outcomes and preserve the acromio-humeral 
      interval (AHI) during mid-term follow-up. The purpose of this study was to 
      evaluate mid-term clinical and radiological outcomes of arthroscopic 
      biceps-incorporating rotator cuff repair with partial release of the LHBT and 
      footprint medialization through the Neviaser portal in MRCTs. METHODS: This study 
      enrolled 107 patients (38 males and 69 females, mean age: 64.9 +/- 8.6 years) with 
      MRCTs. A novel arthroscopic biceps-incorporating repair was performed by 
      footprint medialization, with a partially released biceps tendon covering central 
      defects. Clinical outcomes such as pain VAS, KSS, ASES, UCLA, SST and CS scores 
      and ROM were evaluated at a mean follow-up time of 35 months (range 
      12-132 months). Serial radiographs with a mean postoperative MRI follow-up 
      duration of 33 months were used to evaluate AHI, tendon integrity, fatty 
      infiltration (FI) and muscle hypotrophy. RESULTS: Postoperative pain VAS, KSS, 
      ASES, UCLA, SST, and CS scores and ROM (except external rotation) were improved 
      significantly. AHI also improved significantly from 8.6 to 9.3 mm. According to 
      Sugaya's classification, type I, II, III, IV, or V healing status was found in 30 
      (28.0%), 29 (27.1%), 26 (24.3%), 14 (13.1%), and 8 (7.5%) patients, respectively. 
      The retear rate was 22 (20.6%). CONCLUSIONS: Novel biceps-incorporating cuff 
      repair with footprint medialization yielded satisfactory outcomes in MRCT 
      patients at the 3-year follow-up. A partially released, repaired biceps tendon 
      provided superior stability with preserved AHI similar to that of anterior cable 
      reconstruction. LEVEL OF EVIDENCE: IV.
CI  - (c) 2021. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
FAU - Jeong, Jin Hwa
AU  - Jeong JH
AD  - Joint Center, Department of Orthopedic Surgery, Shinsegae Seoul Hospital, 841, 
      Gyeongin-ro, Yeongdeungpo-gu, Seoul, 07305, Republic of Korea.
FAU - Yoon, Eun Ji
AU  - Yoon EJ
AD  - Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of 
      Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 
      34943, Republic of Korea.
FAU - Kim, Bo Seoung
AU  - Kim BS
AD  - Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of 
      Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 
      34943, Republic of Korea.
FAU - Ji, Jong-Hun
AU  - Ji JH
AUID- ORCID: 0000-0003-1087-3254
AD  - Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of 
      Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 
      34943, Republic of Korea. jijh87@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20220106
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Aged
MH  - Arthroscopy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Range of Motion, Articular
MH  - Rotator Cuff/diagnostic imaging/surgery
MH  - *Rotator Cuff Injuries/diagnostic imaging/surgery
MH  - Tendons/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Biceps-incorporating rotator cuff repair
OT  - Footprint medialization
OT  - Incorporated biceps tendon
OT  - Large-to-massive rotator cuff tears
EDAT- 2022/01/07 06:00
MHDA- 2022/05/26 06:00
CRDT- 2022/01/06 06:08
PHST- 2021/06/22 00:00 [received]
PHST- 2021/11/26 00:00 [accepted]
PHST- 2022/01/07 06:00 [pubmed]
PHST- 2022/05/26 06:00 [medline]
PHST- 2022/01/06 06:08 [entrez]
AID - 10.1007/s00167-021-06829-9 [pii]
AID - 10.1007/s00167-021-06829-9 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2113-2122. doi: 
      10.1007/s00167-021-06829-9. Epub 2022 Jan 6.