title: Infraspinatus/Teres minor transfer biceps in situ tenodesis procedure: initial results of a technique for massive cuff tears.
abstract: Massive rotator cuff tears may not be primarily repairable with salvage options not necessarily providing acceptable results. Extrinsic tendon transfer is a significant undertaking with prolonged rehabilitation and variable outcome. A novel technique for the reconstruction of massive tears, not amenable to primary repair, by performing a transfer of the intrinsic posterior rotator cuff onto an intact, tenodesed long head of biceps tendon acting as a scaffold for the intrinsic transfer is described. The clinical results at short to medium term in 17 initial patients are presented. Encouraging results from this study suggest that this is a viable option for the management of massive rotator cuff tears with an intact posterior cuff with results equal or superior to other reconstructive techniques.
authors: Department of Orthopaedics, Dawson Creek & District Hospital, 11100-13th Street, Dawson Creek, BC, Canada V1G 3W8.
authors: Matt D A
authors: MD
authors: Fletcher