Self-locking Tenodesis vs. Lasso 360 Tenodesis in Arthroscopic Rotator Cuff Repair

What this Trial Is About

This research aims to compare the 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 clear evidence favoring tenodesis or tenotomy for this condition, and the study evaluates a new technique called autobloc tenodesis developed at Clinique Générale, which may offer potential benefits such as reducing the occurrence of Popeye deformity. Participants will be randomly assigned to receive either the self-blocking tenodesis procedure or the arthroscopic tenodesis technique during their shoulder surgery. Both procedures involve detaching the long head of the biceps tendon from its origin and securing it in the bicipital groove, with a radiographically visible suture attached to the tendon to aid imaging. The study includes a single-blind design and focuses on comparing these two surgical approaches. During the study, participants' shoulder function and outcomes will be assessed using the Constant score (CMS) at one year after surgery and the American Shoulder and Elbow Surgeons Score at 3 months, 6 months, and 1 year post-surgery. Patients must be able to complete questionnaires in French, and the study excludes those with certain shoulder conditions or prior surgeries. The trial is set to begin in 2025 and continue through 2028, with thorough monitoring of clinical results and complications throughout the follow-up period.

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