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Updated: Apr 16, 2026
Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Tendon transfer for irreparable rotator cuff tears: indications and surgical rationale
Giovanni Merolla1, Claudio Chillemi2, Vincenzo Franceschini3
1Unit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Cattolica - AUSl della Romagna Ambito Territoriale di Rimini, Italy ; Biomechanics laboratory "Marco Simoncelli", D. Cervesi Hospital, Cattolica - AUSl della Romagna Ambito Territoriale di Rimini, Cattolica, Italy.
Background:
treatment of symptomatic irreparable rotator cuff tears is extremely challenging because, at present, there are no ideal solutions to this problem. Many patients respond favorably to nonsurgical treatment. However, when conservative measures fail to improve the patient's pain and disability, surgery should be considered.
Methods:
different surgical techniques are available and the choice of the most appropriate procedure depends on the presenting symptoms, age of the patient, functional demand, medical comorbidities, joint stability and presence of arthritic changes. The transposition of the surrounding muscles to replace the rotator cuff function represents a viable option in the treatment of younger patients without glenohumeral osteoarthritis and with severe functional limitation.
Purpose:
aim of this study is to give an overview of the currently available evidence regarding tendon transfer procedures for irreparable rotator cuff tears.
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