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Updated: Nov 19, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Anterior Cable Reconstruction Using the Biceps Tendon in Retracted Anterior L-Shaped Rotator Cuff Tears
Sang-Jin Shin1, In-Woo Kim1, In Park1
1Department of Orthopedic Surgery, College of Medicine, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea.
Abstract:
Repair of a retracted anterior L-shaped rotator cuff tear is challenging because of the lack of mobilization of the torn tendon and destruction of the rotator cable. Restoring the anterior rotator cable decreases gap formation of the repaired tendon, leading to maintenance of the repair integrity of the anterior supraspinatus tendon. This Technical Note introduces the surgical technique of anterior cable reconstruction using the proximal biceps tendon for a retracted anterior L-shaped rotator cuff tear.
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