{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T01:25:33Z","timestamp":1774488333355,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>In large\u2010to\u2010massive rotator cuff tears (MRCTs), incorporating the long head of the biceps tendon (LHBT) with arthroscopic partial rotator cuff and margin convergence can improve clinical outcomes and preserve the acromio\u2010humeral interval (AHI) during mid\u2010term follow\u2010up. The purpose of this study was to evaluate mid\u2010term clinical and radiological outcomes of arthroscopic biceps\u2010incorporating rotator cuff repair with partial release of the LHBT and footprint medialization through the Neviaser portal in MRCTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study enrolled 107 patients (38\u00a0males and 69 females, mean age: 64.9\u2009\u00b1\u20098.6 years) with MRCTs. A novel arthroscopic biceps\u2010incorporating repair was performed by footprint medialization, with a partially released biceps tendon covering central defects. Clinical outcomes such as pain VAS, KSS, ASES, UCLA, SST and CS scores and ROM were evaluated at a mean follow\u2010up time of 35\u00a0months (range 12\u2013132\u00a0months). Serial radiographs with a mean postoperative MRI follow\u2010up duration of 33\u00a0months were used to evaluate AHI, tendon integrity, fatty infiltration (FI) and muscle hypotrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative pain VAS, KSS, ASES, UCLA, SST, and CS scores and ROM (except external rotation) were improved significantly. AHI also improved significantly from 8.6 to 9.3\u00a0mm. According to Sugaya\u2019s classification, type I, II, III, IV, or V healing status was found in 30 (28.0%), 29 (27.1%), 26 (24.3%), 14 (13.1%), and 8 (7.5%) patients, respectively. The retear rate was 22 (20.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Novel biceps\u2010incorporating cuff repair with footprint medialization yielded satisfactory outcomes in MRCT patients at the 3\u2010year follow\u2010up. A partially released, repaired biceps tendon provided superior stability with preserved AHI similar to that of anterior cable reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06829-9","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T19:05:58Z","timestamp":1641409558000},"page":"2113-2122","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Biceps\u2010incorporating rotator cuff repair with footprint medialization in large\u2010to\u2010massive rotator cuff tears"],"prefix":"10.1002","volume":"30","author":[{"given":"Jin Hwa","family":"Jeong","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Joint Center, Department of Orthopedic Surgery Shinsegae Seoul Hospital 841, Gyeongin\u2010ro, Yeongdeungpo\u2010gu 07305 Seoul Republic of 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