Table II.

Advantages & disadvantages.

Advantages

Disadvantages

1.Utilizing an autologous graft enhances healing, tissue integration into the rotator cuff, and eliminates the inherent risks with allograft/synthetic graft materials. 2.Maintaining the attachment of the LHBT at the superior glenoid tubercle, which can act as a blood supply conduit in the rotator cuff’s hypovascular region, aids in healing and humeral head depression. 3.The autologous biceps tendon can prevent superior migration of the humeral head while maintaining full range of motion. 4.Addition of the subpectoral tenodesis allows for an anatomic length of tendon for augmentation while eliminating symptoms in the biceps distally.

1.The method may not be suitable for all patients, including those with advanced glenohumeral arthritis, massive unreconstructable rotator cuff cable, and a deficient biceps. 2.The proximal and distal biceps tendon must be intact and functional at the start of the procedure. 3.The surgeon should feel capable of performing a subpectoral tenodesis at the onset of the surgical case. 4.A separate surgical incision is required.

LHBT, long head of the biceps tendon.