Self-locking Tenodesis of the Long Chief of the Biceps Vs. Lasso 360 Tenodesis in Arthroscopic Rotator Cuff Repair Rotator Cuff Repair (BLAST1)

Clinique Générale dAnnecy

Status

Enrolling

Conditions

Rotator Cuff Injury

Treatments

Procedure: arthroscopic tenodesis

Procedure: self-blocking tenodesis

Study type

Interventional

Funder types

Other

Identifiers

NCT06774820

2024-45-CGA

Details and patient eligibility

About

The aim of this study is to compare the clinical results and complications of self-locking biceps tenodesis and double 360 lasso loop biceps tenodesis for the treatment of long chief of biceps or superior labrum anterior-posterior (SLAP) tendon pathology during shoulder arthroscopy in patients undergoing arthroscopic rotator cuff repair. Currently, there is no consensus on the use of tenodesis versus tenotomy to treat pathology of the long head of the biceps during arthroscopic rotator cuff repair. Numerous studies have examined the clinical results of long biceps tenotomy versus long biceps tenodesis, and there is no evidence to date of superiority of either technique. At Clinique Générale, we use a new, innovative technique called autobloc tenodesis to treat pathologies of the long head of the biceps. There are no comparative studies between autobloc tenodesis of the biceps and biceps tenodesis. Given its potential advantages, self-locking biceps tenodesis could emerge as the new technique of choice for treating biceps longus tendon pathology, potentially reducing differences in outcomes such as Popeye deformity. The information provided by this study could potentially guide future clinical practice, helping surgeons to choose the most appropriate treatment for their patients suffering from long biceps tendon pathology.

Enrollment

100 estimated patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Full-thickness rotator cuff tear of the supraspinatus/infraspinatus tendon, diagnosed preoperatively by ultrasound, arthro-CT or MRI.
Patients must be able to read and write in French in order to complete the questionnaires and sign the informed consent form.

Exclusion criteria

Partial rotator cuff tear
Massive and irreparable rotator cuff tear
Grade 4 according to Goutallier classification of fatty degeneration of rotator cuff muscles
Rupture of the long biceps
Hourglass deformity of biceps tendon origin
Osteoarthritis of the glenohumeral joint, defined by narrowing of the glenohumeral joint space or osteophytes, using AP radiography of the affected shoulder.
Distance between acromion and humeral head measuring 6 mm or less, defined by Hamada classification as grade 2 or higher.
Previous shoulder surgery.
Dementia or inability to complete questionnaires and assessments.
Pregnant, parturient or breast-feeding patients.
Persons under legal protection (curatorship, guardianship, safeguard of justice).
Persons deprived of their liberty by judicial or administrative measure
Persons under psychiatric care
Persons not affiliated to a social security scheme