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Updated: Jun 21, 2026

07:22
Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Arthroscopic rotator cuff repair with biceps tendon augmentation
Jonathan T Nassos1, Steven C Chudik
1G & T Orthopaedics, Chicago, IL 60659, USA. jtn22@aol.com
American Journal of Orthopedics (Belle Mead, N.J.)
|August 4, 2009
Summary
This study details a novel technique combining arthroscopic rotator cuff repair with biceps tenodesis. This approach aims to enhance healing potential in patients with large tears by increasing collagen availability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomaterials Science
Background:
- Arthroscopic rotator cuff repair is a common treatment for rotator cuff tears.
- Large to massive tears present challenges in healing and clinical outcomes.
- Augmentation with collagen grafts has shown limited success.
Purpose of the Study:
- To describe a technique integrating biceps tenodesis into double-row rotator cuff repair.
- To enhance healing potential in patients with large rotator cuff tears.
- To address concomitant biceps tendon pathology.
Main Methods:
- Description of a surgical technique incorporating biceps tenodesis.
- Simultaneous performance of rotator cuff repair and biceps tenodesis.
- Utilizing a double-row repair method.
Main Results:
- The technique aims to increase collagen availability at the repair site.
- Potential for improved healing rates in large rotator cuff tears.
- Addresses concurrent biceps tendon issues.
Conclusions:
- The described technique offers a novel approach to rotator cuff repair.
- Integrating biceps tenodesis may improve outcomes for large tears.
- This method seeks to maximize healing potential through increased collagen.
