Table 3.
Comparison of Techniques
| Item | Our Technique | Kim et al.16 | Boutsiadis et al.15 |
|---|---|---|---|
| Order of critical steps | 1. Insertion of suture anchor for LHBT fixation at the medial and middle part of the footprint | 1. Insertion of suture anchor for LHBT fixation at the lateral and middle part of the footprint | 1. Insertion of suture anchor for LHBT fixation at the lateral and anterior part of the footprint |
| 2. Fixation of LHBT by passing suture wires through both the anterior and posterior third of the LHBT | 2. Fixation of LHBT with a lasso-loop tie and 2 more wraparound ties | 2. Fixation of LHBT with a lasso-loop tie | |
| 3. Tenotomy of LHBT | 3. Insertion of medial anchor for another LHBT medial fixation using the lasso-loop technique | 3. Tenotomy of LHBT | |
| 4. RCT repaired by single-row or suture bridge techniques | 4. Tenotomy of LHBT | 4. Repair of RCT with single-row or suture bridge techniques | |
| 5. RCT repaired by delaminated double row or suture bridge | 5. Side-to-side repair of rotator cuff and transposed LHBT | ||
| LHBT fixation | Medial and lateral | Medial and lateral | Lateral |
| Method of LHBT fixation | Passing through both the anterior and posterior thirds of the LHBT and then tying both loops individually | A lasso-loop tie and 2 more wraparound ties | A lasso-loop tie |
| Longitudinal tear of fixed LHBT | No | No | No |
| Management of distal to fixation of LHBT | Tenotomy or subpectoral tenodesis | Tenotomy | Tenotomy |
| Transposition of LHBT | Sandwiched between the repaired rotator cuff and the footprint | Sandwiched between the repaired rotator cuff and the footprint | Anterior to repaired rotator cuff |
| Configuration of RCT repair | 1. For a reparable tear, suture bridge or single-row techniques depending on the tear size | 1. For delaminated tears, a separate double-row repair or separate bridge repair | 1. Tension-free partial repair RCT and side-to-side margin repair of the rotator cuff with the LHBT |
| 2. For irreparable tear, a partial repair is acceptable | 2. For irreparable tear, a partial repair is acceptable | ||
| 3. Double row for reparable RCT |
LHBT, long head of biceps tendon; RCT, rotator cuff tear.