Biceps tenodesis as treatment for failed SLAP repairs
Recently, failed SLAP repairs are reported more frequently in literature; possible causes include poor blood supply, inadequate rehabilitation protocols or overtreatment. Biceps tenodesis has been proposed as treatment in cases with failed type II SLAP repair.
This study investigated whether biceps tenodesis is indeed an effective treatment option in the management of failed SLAP repairs. 46 subjects – all military personnel – underwent surgical revision procedures and completed the complete postoperative follow-up period. Outcome measures included return to active duty, the American Shoulder and Elbow Surgeons (ASES) score, the Western Ontario Shoulder Instability (WOSI) score and Single Assessment Numeric Evaluation (SANE) score. Besides this, changes in ROM were recorded.
Patients improved significantly on all outcome scores and ROM measurements. The authors conclude that in their population, biceps tenodesis is an adequate intervention in cases presenting with failed type II SLAP repair. However, caution should be taken when interpreting these results, as this study’s external validity appears to be low, randomization was not conducted and biceps tenodesis after failed SLAP repairs was not compared to other treatment approaches.
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