Arthroscopic Long Head of Biceps Tenodesis and Intratendinous Pasta Repair: The Way We Do It at the Reading Shoulder Unit.

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Arthroscopic Long Head of Biceps Tenodesis and Intratendinous Pasta Repair: The Way We Do It at the Reading Shoulder Unit.

By Luis Natera 5 Videos FEATURING Ofer Levy

1,461 views

May 25, 2017

It has been shown that the suture-tendon interface is the weakest point of the reconstruction. ...
read more ↘ Therefore, the biomechanical properties of rotator cuff repairs might be more influenced by the suture configuration, rather than by the number of anchors or by the number of rows involved.

Techniques that secure less amount of tendon over a smaller area of the healing zone might be expected to have higher failure rates. The way the sutures of the ‘parachute technique’ are configured represents a quadruple mattress that increases the contact and pressure between the tendon and its footprint and increases the primary load to failure of the repair.

We present a simple and effective technique, which involves the biomechanical and biological advantages related to the increased contact area and pressure between the cuff tendon and its footprint. The intraarticular view is preferred, because it allows a better approach in cases of tendon delamination.

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