Table 3.

Possible Advantages and Disadvantages of Using Biceps Autograft for Reconstruction Rotator Cable in Massive Rotator Cuff Tears

Advantages	Disadvantages
Anatomical reconstruction of the rotator cable	No fixation cuff to footprint
Biceps tendon is rich in collagen	Possible degenerative biceps tendon
Easy to harvest	High tension on cuff and tendon graft
Use of an autograft (biceps tendon)	Not possible in end-stage fatty infiltration
Arthroscopic technique	Not possible in end-stage retraction
No graft reactions	Extensive arthroscopic technique
Fixation of cuff to reconstructed rotator cable and not to footprint
May prevent cuff arthropathy