Laprus Hubert, Juszczak Bartłomiej, Brzóska Roman, Błasiak Adrian, Popescu Ion-Andrei, Lubiatowski Przemysław
St Luke's Hospital, Bielsko-Biala, Poland.
Dworska Hospital, Kraków, Poland.
EFORT Open Rev. 2024 Jun 3;9(6):528-535. doi: 10.1530/EOR-24-0011.
Rotator cuff tears (RCT) and instability are the most common surgically treated shoulder pathologies. The concept of augmentation using the long head of the biceps tendon (LHBT) autograft was created to improve the results of surgical treatment of these pathologies, especially in cases of chronic and massive injuries. The popularity of using the LHBT for augmentation is evidenced by the significant number of publications on this topic published in the last 3 years; however, only one systematic review has been published regarding only LHBT augmentation for massive RCTs. Several studies comparing partial repair with partial repair and additional LHBT augmentation for RCT showed superior clinical outcomes and lower re-tear rates when LHBT augmentation was performed. There is a rising popularity of using LHBT as an autograft to perform superior capsule reconstruction (SCR) in case of irreparable rotator cuff tears. In recent years, shoulder stabilization by arthroscopic Bankart repair with biceps augmentation has been promoted with very promising short-term results. The evidence provided by studies appears to be sufficient to recommend the use of LHBT for augmentation whenever necessary; however, larger studies with long-term follow-up are needed.
肩袖撕裂（RCT）和肩关节不稳是最常见的需手术治疗的肩部疾病。利用肱二头肌长头肌腱（LHBT）自体移植进行增强修复的概念旨在改善这些疾病的手术治疗效果，尤其是在慢性和大面积损伤的情况下。过去3年中关于该主题的大量出版物证明了使用LHBT进行增强修复的受欢迎程度；然而，仅发表了一篇关于仅使用LHBT增强修复大面积RCT的系统评价。多项比较RCT的部分修复与部分修复加LHBT增强修复的研究表明，进行LHBT增强修复时临床效果更佳，再撕裂率更低。在不可修复的肩袖撕裂病例中，使用LHBT作为自体移植进行上盂唇重建（SCR）的情况越来越普遍。近年来，通过关节镜下Bankart修复加肱二头肌增强进行肩关节稳定手术取得了非常有前景的短期效果。研究提供的证据似乎足以推荐在必要时使用LHBT进行增强修复；然而，需要进行更大规模的长期随访研究。
