Related Experiment Video
Updated: Jun 25, 2026
Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
Published on: March 6, 2026
Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator
Daniel Goutallier1, Jean-Marie Postel, Catherine Radier
1Department of Orthopedic Surgery, Henri Mondor Teaching Hospital, Créteil School of Medicine (Paris XII University), Assistance Publique-Hopitaux de Paris, Créteil, France.
Hypothesis:
Tendon-to-bone suture and a fatty degeneration index (FDI)
Materials And Methods:
We studied 30 cuffs with FDI
Results:
Re-tear after one year was rare: only one cuff showed a recurrent tear. In the 29 intact cuffs, mean un-weighted Constant score and sub-scores improved significantly (P values, < .0001- .0002; final Constant score = 77) for two years then remained stable. FDI values increased during the first year and then remained stable. Mild osteoarthritis was noted in one shoulder at last follow-up.
Conclusion:
Final functional outcomes correlated significantly to FDI at baseline and last follow-up. Tension free tendon-to-bone suture is effective functionally and structurally at nine years follow-up provided the FDI at surgery is
Level Of Evidence:
Level 3; Retrospective cohort therapeutic study.
