The Orthobullets Podcast Podiums | Shoulder & Elbow | Management of the Failed SLAP Repair and Biceps Tenodesis Indications
Sep 15, 2025
Dr. George A. Paletta Jr., a seasoned orthopedic surgeon known for his work with shoulder and elbow injuries, shares invaluable insights. He dives into effective management strategies for failed SLAP repairs and when to opt for biceps tenodesis, particularly among younger athletes. The conversation emphasizes the importance of evolving surgical methods and the critical role of non-operative treatments as initial options. This engaging discussion is a must-listen for those interested in the latest advancements in orthopedic care.
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Preserve Side-To-Side Repair Skills
- Do learn side-to-side capsular repair techniques because younger patients can be treated before skeletal maturity.
- Practice sewing tissue as this skill is becoming rare but allows earlier return to activity within ~3 months.
SLAP Repair Boom And Technique Variation
- SLAP repair rates rose dramatically in the 2000s despite later evidence questioning outcomes.
- Enthusiasm and technique variation (knots, knotless, biceps incarceration) drove a large increase in repairs.
Perception Versus Reality In Return Rates
- Perceived high success rates (~85%) for overhead athletes did not match later outcome data.
- More rigorous scores and longer follow-up showed many athletes didn't reach prior performance.