Arthroscopic Rotator Cuff Repair With a Compressed Long Head of the Biceps Tendon Interposition Graft

Incomplete healing and structural failure remain major challenges after arthroscopic rotator cuff repair, particularly in large or chronic tears. These intrinsic tissue limitations continue to restrict durable tendon-to-bone healing, even in the presence of advances in suture configurations and anchor technology. Consequently, biologic augmentation strategies targeting the tendon-bone interface have gained increasing attention to enhance structural integrity and optimize the healing environment. Among available autograft options, the long head of the biceps tendon provides a biologically compatible and readily accessible tissue source that has been previously incorporated into rotator cuff reconstruction techniques. Here, we describe the use of a compressed autograft long head of the biceps tendon graft as an interposition graft in double-row rotator cuff repair.