Long Head Biceps Tendon as Superior Capsular Reconstruction (LHBT-SCR) augmentation for Massive rotator cuff repair: “The Chinese Way

Massive or irreparable rotator cuff tears remain a challenging with a high failure rates of the tendon re-tear after surgical treatment in sports medicine practice. Superior capsular reconstruction with either fascia lata autograft or a dermal allograft patch has been described to prevent superior humeral head migration and restore the shoulder muscle force couples to achieve the promising results. A modified and simplified surgical procedure using long head biceps tendon (LHBT) autograft as superior capsular reconstruction (LHBT-SCR) to facilitate the massive rotator cuff repair has been descripted as ”Chinese Way” by a team of French surgeons and Chinese surgeons. The surgical technic has been used in China more than 300 cases. The procedure of this LHBT-SCR has been approved with the advantage of least technical demands, simplifies the original demanding, short the surgical time, satisfy the results and patient acceptance. A multi-center prospective studies with large cohort populations and long-term follow-up has been established in China for its effectiveness. The present will introduce the technic in detail.