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Updated: Jun 22, 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
[Operative and follow-up treatment of rotator cuff tears--the current situation]
M D Schofer1, M Quante, C-D Peterlein
1Orthopädie und Rheumatologie, Universitätsklinikum Marburg, Marburg, Germany. schofer@med.uni-marburg.de
Aim:
The aim of this study was to evaluate the current situation of rotator cuff repair and follow-up treatment in German hospitals.
Methods:
An evaluated survey, enquiring about the year 2006, was sent to all 777 German orthopaedic and/or trauma surgery departments. The hospitals were chosen using the official index of hospitals from the German Federal Statistical Office.
Results:
44 % of the surveys were sent back, whereby 40 % were of use. Within the 309 departments, 26 % of the total number of 59,957 shoulder operations were rotator cuff repairs. Mini-open was the operation method in 49 %, open in 29 % and arthroscopic in 22 % of cases. Regarding the operational methods, there were differences between the departments and level of care. The arthroscopic technique was used sometimes in 48 % of the departments, whereas 52 % never used it. Specialised shoulder departments employed the total arthroscopic procedure more often. A set follow-up treatment occurred in 79 % of departments.
Conclusion:
Rotator cuff repair is mainly carried out using the mini-open method, which is nowadays regarded as gold standard.
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