8 Superior Capsular Reconstruction: A Literature Review About Comparison Auto- graft Using Long Head Biceps Tendon and Fascia Lata in Rotator Cuff Tear Romy Deviandri* 1 , Aidil A. Nurshal 2 , Hanif Fahmat 3 ABSTRAK Cedera otot supraspinatus masif merupakan salah satu cedera yang sering terjadi pada kelompok olahragawan. Pa- sien akan mengeluhkan nyeri serta kelemahan di bahu yang cedera. Terdapat banyak pilihan teknik untuk menangani cedera tersebut. Penelitian ini akan membandingkan penanganan cedera ini dengan teknik rekonstruksi menggunakan graft dari tendon long head biceps (LHB) dan tendon fascia lata (TFL). Penelitian ini merupakan studi literatur untuk membandingkan teknik dan outcome antara prosedur LHB dan TFL. Dari hasil penelitian, didapatkan hasil bahwa LHB lebih mudah untuk dilakukan dengan efek biomekanika yang sebanding dengan TFL, serta lebih baik dalam hal mencegah migrasi humeral head ke superior. Namun, TFL tampak lebih kuat dan penyembuhannya lebih baik karena mempunyai karakteristik dan struktur biomekanis yang lebih mirip dengan tendon supraspinatus. Kesimpulan penelitian ini, kedua teknik mempunyai keuntungan dan kerugian masing-masing. Namun, kedua teknik sama-sama mempunyai kemampuan yang baik serta dapat menjadi pilihan dalam penanganan cedera otot supraspinatus. Kata Kunci: Rotator cuff tear, autograft, tensor fascia lata, long head biceps tendon, superior capsular reconstruction * Corresponding author: romydeviandri@lecturer.unri.ac.id 1 Department of Physiology, Universitas Riau, Pekanbaru, Riau, Indonesia 2 Division of Orthopaedic Surgery, Arifn Ahmad Hospital, Pekanbaru, Riau, Indonesia 3 Departement of Orthopaedic Surgery, Eka Hospital, Pekanbaru, Riau, Indonesia The rotator cuff (RC) is a primary dynamic stabilizer of the glenohumeral joint. Throughout the physiological shoulder range of motion, the RC maintains concentric reduction of the humeral head on the glenoid. When disrupted, the joint kinematics is altered, resulting in superior humeral translation, articular wear, and ultimately arthritis, known as a RC arthropathy. 1 A rotator cuff tear (RCT) is a common pathology characterized by the tear of any one of the four tendons that compose the rotator cuff. The supraspinatus tendon, which inserts at the greater tuberosity, is most commonly affected, and a complete tear of the supraspinatus often results in pain, loss of function in arm abduction, and superior destabilization of the glenohumeral joint. 2 The treatment of massive rotator cuff tears pos- es a challenge to orthopaedic surgeons. The reported prevalence of massive rotator cuff tears has been as high as 40% of all rotator cuff tears. Studies have in- dicated a higher rate of recurrent tearing for massive rotator cuff tears after surgery compared with smaller tears. The supraspinatus tendon, which inserts at the greater tuberosity, is most commonly affected, and a complete tear of the supraspinatus often results in pain, loss of function in arm abduction, and superior destabilization of the glenohumeral joint. 2,3 Re-tear rates are high, 5– 94%, with risk factors such as age over 65, fatty degeneration of over 50% of the rotator cuff muscle, tendon retraction, tobacco use, diabetes mellitus, and the size of the tear all predictive of structural failure of the repair. 2 The De-Orio and Cofeld classifed massive rotator cuff tears as tears that are >5 cm in size in either the anterior-posterior or medial-lateral dimen- sion, whereas Gerber defned massive tears as those involving complete tears of at least 2 tendons. 3 Roentgenographic grades of massive cuff tears were proposed. These were based chiefy on the acromio-humeral interval (AHI), which has been considered in the literature to be a sensitive indicator for the full-thickness cuff tear. An AHI of 6-7 mm was reported as the lower limit in normal shoulders by several authors. Five grades were classifed; JIK, Jilid 15, Nomor 1, Maret 2021, Hal. 8-11