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Related Experiment Video

Updated: Apr 14, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears

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Arthroscopic biceps tenodesis: Inlay or onlay technique?

Gokhan Karademir1, Onur Tunalı2, Yunus Emre Özdemir3

  • 1Department of Orthopaedics and Traumatology, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Istanbul-Türkiye.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|April 13, 2026
PubMed
Summary

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The onlay arthroscopic biceps tenodesis technique offers faster recovery and fewer complications compared to the inlay method for SLAP lesions and tendon degeneration. Both techniques provide effective pain relief and functional improvement.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Long-term outcomes of arthroscopic biceps tenodesis techniques (inlay vs. onlay) are debated regarding tendon healing and graft stability.
  • Optimal tenodesis strategy requires comparison of inlay and onlay techniques for complications, patient satisfaction, and functional recovery.

Purpose of the Study:

  • To compare the efficacy of arthroscopic inlay versus onlay biceps tenodesis.
  • To evaluate postoperative complication rates, patient satisfaction, and functional recovery between the two techniques.

Main Methods:

  • Retrospective evaluation of 54 patients undergoing arthroscopic biceps tenodesis (2015-2021) for SLAP lesions or biceps tendon degeneration.
  • Comparison of patient demographics, clinical variables (VAS, Constant score), and complications between inlay (Group 1, n=28) and onlay (Group 2, n=26) tenodesis groups.

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Related Experiment Videos

Last Updated: Apr 14, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
07:10

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Published on: March 6, 2026

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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Main Results:

  • Both techniques significantly improved VAS and Constant scores postoperatively, with no significant difference between groups.
  • The onlay technique (Group 2) demonstrated a significantly shorter mean recovery time (8.3 weeks) compared to the inlay technique (Group 1) (12.3 weeks) (p=0.01).
  • While not statistically significant, the onlay group reported lower rates of cramping and Popeye deformity.

Conclusions:

  • Both inlay and onlay arthroscopic biceps tenodesis are effective for managing biceps tendon issues.
  • The onlay technique may offer advantages due to faster recovery and potentially lower complication rates.