Discover the innovative ‘Biceps-Subscap Sling’ technique that enhances subscapularis repair during Total Shoulder Arthroplasty, potentially revolutionizing recovery outcomes for patients.
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Subscapularis Repair Augmentation With the Long Head Biceps Tendon During Anatomic Total Shoulder Arthroplasty: The “Biceps-Subscap Sling” Technique.
Cohn et al., Arthrosc Tech 2023
DOI: 10.1016/j.eats.2023.07.010
New Information: The study introduces the “Biceps-Subscap Sling” technique, which uses the long head of the biceps tendon (LHBT) as an autograft to augment subscapularis repair after anatomic total shoulder arthroplasty (TSA).
Importance: This technique aims to address the issue of subscapularis repair failure, which can lead to reduced range of motion, joint instability, and persistent pain post-TSA. By reinforcing the repair with LHBT, the method seeks to provide a stronger construct and prevent failure.
Contribution to Literature: The technique is innovative in that it repurposes the LHBT, which is already accessible during TSA, to enhance the structural integrity of the subscapularis repair. The LHBT is woven through the subscapularis tendon and secured with transosseous sutures, serving as a rip-stop to prevent suture pullout. Additionally, the LHBT may function as a dynamic stabilizer due to its continuity with the biceps distally. This approach is presented as cost-effective and biologically active, potentially offering a new solution for at-risk patients undergoing TSA.