The “Double Lasso-Loop” Technique Used for Arthroscopic Proximal Biceps Tenodesis

Bois, Aaron J.; Roulet, Steven; Du, Christophe Le; Neyton, Lionel; Godenèche, Arnaud

doi:10.1016/j.eats.2018.11.012

Cited by 11 publications

(9 citation statements)

References 23 publications

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“…Using 1 of the 3 sutures, a biceps tenodesis is performed using the double lasso loop technique. 7 Surgeon discretion is used to determine the need to perform a biceps tenodesis and is not required for the RC repair technique outlined below. If a biceps tenodesis is not performed, double-loaded suture anchors can be used within the medial row.…”

Section: Surgical Technique (With Video Illustration)mentioning

confidence: 99%

Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Collotte

Vieira²,

Bois³

2022

Arthroscopy Techniques

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Section: Surgical Technique (With Video Illustration)mentioning

confidence: 99%

Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Collotte

Vieira²,

Bois³

2022

Arthroscopy Techniques

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“…If the tendon is degenerated, a double lasso loop is made to avoid tearing. 7 After the first lasso loop, performed to modify the position of the LHBT, a wraparound tie is made with the second strand ( Fig 4 B) to ensure successful fixation of the LHBT; it is important to tie this suture over the tendon and not through it ( Fig 5 ). Cannulas are not routinely used by the authors, so the surgeon must make sure to retrieve the strands with the suture manipulator through the anterior portal.…”

Section: Surgical Techniquementioning

confidence: 99%

Anterior Capsular Reconstruction With Proximal Biceps Tendon for Large to Massive Rotator Cuff Tears

Llanos-Rodríguez

Escandón-Almazán

Espejo-Reina³

et al. 2021

Arthroscopy Techniques

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Massive rotator cuff tears (RCT) have traditionally been a challenging clinical problem for shoulder surgeons. A broad variety of treatment options have been proposed to address this problem, but outcomes have been as variable as the techniques themselves. Superior capsular reconstruction has been presented as a way to restore the restraining effect of the superior joint capsule and balanced force couples in massive tears of the superior rotator cuff. The purpose of this article is to propose a technical modification of the superior capsular reconstruction in large to massive RCT, and, especially in anterior L-shaped RCT, using the long head of the biceps tendon autograft to reinforce the weakest area of the anterior capsule, not as an augmentation of the rotator cuff, but as a static stabilizer of the humeral head, allowing the rotator cuff repair to heal without tension.

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“…A novel biceps tenodesis technique, called the “Double Lasso-Loop” Technique, was previously described by Bois et al 14 in 2019. This technique involves the use of a single anchor and 2 self-cinching loops circumferentially around the tendon, followed by 5 alternating half-hitches to secure the construct to the proximal bicipital groove.…”

Section: Introductionmentioning

confidence: 99%

The double-lasso loop technique of Biceps tenodesis has lower displacement after cyclic loading, compared to interference screw fixation: Biomechanical analysis in an ovine model

et al. 2022

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Background Biceps tenodesis is an effective treatment for symptomatic long head of biceps tendon pathology. Recently the arthroscopic “double lasso-loop” suture anchor (DLSA) technique was described, advantaged by reduced cost, complexity, and operative time. We aimed to compare the in vitro strength of DLSA with conventional interference screws (IS). Methods A biomechanical analysis was conducted on 14 sheep shoulders (8 DLSA, 6 IS), consisting of a 500-cycle cyclic loading experiment of 5–70 N and ultimate failure load (UFL) test where each specimen was pulled until failure. Displacement (mm) was recorded every 100 cycles, while stiffness and UFL were observed. Results Cyclic displacement was significantly lower with DLSA at 100 cycles, but not above. During the UFL test, IS was stiffer (27.68 ± 6.56 N/mm versus 14.10 ± 5.80 N/mm, p = .005) and had higher UFL (453.67 ± 148.55 N versus 234.22 ± 44.57 N, p = .001) than DLSA. All DLSA failures occurred with suture/anchor pull-out, while all IS constructs failed at the muscle/tendon. Discussion Comparison of the novel DLSA technique with a traditional IS method found lower initial displacement. While our IS constructs could withstand higher UFL, peak load characteristics of DLSA were similar to previous ovine studies. Hence, the DLSA technique is a viable alternative to IS for biceps tenodesis with its purported non-biomechanical advantages.

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The “Double Lasso-Loop” Technique Used for Arthroscopic Proximal Biceps Tenodesis

Cited by 11 publications

References 23 publications

Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Anterior Capsular Reconstruction With Proximal Biceps Tendon for Large to Massive Rotator Cuff Tears

The double-lasso loop technique of Biceps tenodesis has lower displacement after cyclic loading, compared to interference screw fixation: Biomechanical analysis in an ovine model

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