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Tenotomy or Tenodesis for the Long Head of Biceps Lesions in Shoulders: A Systematic Review and Meta-Analysis

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  • Heng’an Ge
  • Qiang Zhang
  • Yeqing Sun
  • Jie Li
  • Lin Sun
  • Biao Cheng

Abstract

Background: Both tenotomy and tenodesis have been widely used for the treatment of long head of biceps tendon (LHBT) lesions, but the optimal strategy remains considerably controversial. In this meta-analysis of published studies, we compared the results of the two procedures. Methods: A literature search that compared tenotomy with tenodesis was performed using MEDLINE, and Embase until August 2014. A total of 7 studies reporting data on 622 subjects were included. Study quality was evaluated using the PEDro critical appraisal tool and the NO quality assessment tool. Results: Data synthesis showed higher functional outcomes, a lower complication rate, and longer surgical time in patients managed with tenodesis compared to tenotomy (Constant score, P = 0.02; Popeye sign, P

Suggested Citation

  • Heng’an Ge & Qiang Zhang & Yeqing Sun & Jie Li & Lin Sun & Biao Cheng, 2015. "Tenotomy or Tenodesis for the Long Head of Biceps Lesions in Shoulders: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-11, March.
    • Handle: RePEc:plo:pone00:0121286
    DOI: 10.1371/journal.pone.0121286
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    Cited by:

    1. Xiliang Shang & Jiwu Chen & Shiyi Chen, 2017. "A meta-analysis comparing tenotomy and tenodesis for treating rotator cuff tears combined with long head of the biceps tendon lesions," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-14, October.

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