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A Prospective Randomized Study Comparing the Interference Screw and Suture Anchor Techniques for Biceps Tenodesis.

Ji Soon Park^1,2, Sae Hoon Kim², Ho Jin Jung³

¹Department of Orthopaedic Surgery, Sheikh Khalifa Specialty Hospital, Ras al Khaimah, United Arab Emirates.

The American Journal of Sports Medicine

|February 2, 2017

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Interference screw (IS) fixation for biceps tenodesis may increase the risk of anatomic failure compared to suture anchor (SA) fixation, especially in patients with physically demanding jobs. Functional outcomes were similar between both methods.

Area of Science:

Orthopedic surgery
Shoulder arthroscopy
Sports medicine

Background:

Biceps tenodesis is performed for superior labrum-biceps complex (SLBC) lesions with rotator cuff tears.
Limited data exist on the optimal fixation technique for biceps tenodesis.

Purpose of the Study:

To compare clinical and anatomic outcomes of interference screw (IS) versus suture anchor (SA) fixation for biceps tenodesis during arthroscopic rotator cuff repair.

Main Methods:

Prospective randomized controlled trial (Level of evidence, 2) of 80 patients undergoing arthroscopic rotator cuff repair with SLBC lesions.
Patients were randomized to IS or SA tenodesis.
Functional outcomes assessed using VAS, ASES, SST, Constant, KSS, and LHB scores; anatomic success evaluated via imaging.

Keywords:

anatomic outcome biceps tenodesis functional outcome interference screw prospective randomized study suture anchor

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Main Results:

No significant difference in functional outcomes between IS and SA groups.
Nine anatomic failures occurred: 7 in IS group, 2 in SA group (P = .083).
IS fixation and higher work level were associated with increased risk of anatomic failure.

Conclusions:

Interference screw fixation may carry a higher risk of anatomic failure than suture anchor fixation for biceps tenodesis.
Caution is advised for patients with physically demanding occupations.
Functional outcomes did not differ significantly between fixation methods.