Comparing Self-Locking and Double 360 Lasso Loop Biceps Tenodesis During Shoulder Arthroscopy for Rotator Cuff Tears

What this Trial Is About

This research aims to compare the clinical outcomes and complications of two surgical techniques, self-locking biceps tenodesis and double 360 lasso loop biceps tenodesis, for treating long head of biceps or superior labrum anterior-posterior SLAP tendon problems during shoulder arthroscopy in patients undergoing rotator cuff repair. There is currently no agreement on whether tenodesis or tenotomy is better for treating long head of biceps pathology during rotator cuff repair. The study investigates a new method called autobloc tenodesis, which may offer advantages and potentially reduce differences in outcomes like Popeye deformity. Participants will receive either the self-locking tenodesis procedure, where the long head of the biceps tendon is detached and self-locked in the bicipital groove with a radiographically visible suture for imaging, or the arthroscopic tenodesis procedure, where the tendon is detached, sutured, and fixed using a 360-lasso loop technique with a similar visible suture. Both procedures are performed during arthroscopic rotator cuff repair. This is a randomized controlled trial comparing these two surgical approaches. During the study, participants will be assessed with various outcome measures including the Constant score at 1 year post-surgery as the primary measure. Secondary assessments include shoulder function scores, pain ratings, cosmetic appearance, and imaging such as radiographs and MRI or ultrasound at specified intervals up to one year after surgery. These evaluations will help monitor clinical results and complications over time to guide future surgical choices.

Biceps Lasso Loop and Self- Locking Tenodesis Alongside Repair of Rotator Cuff Tears: Randomised Controlled Trial Study Protocol (BLAST 1)