scholarly journals Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button

2016 ◽  
Vol 5 (2) ◽  
pp. e303-e307 ◽  
Author(s):  
Christopher L. Camp ◽  
Pramod B. Voleti ◽  
Keith T. Corpus ◽  
Joshua S. Dines
Keyword(s):  
Single Incision ◽  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Cortical Button ◽  
Incision Technique ◽  
Intramedullary Cortical Button

Distal biceps repair through a single incision with the use of a knotless cortical button device: Mid-term results

2021 ◽  
pp. 175857322110603
Author(s):  
Angelos Assiotis ◽  
Jonathan French ◽  
Gray Edwards ◽  
Philip A McCann ◽  
Naomi Chalk ◽  
...  
Keyword(s):  
Single Incision ◽  
Biceps Tendon ◽  
Operative Management ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Cortical Button ◽  
Biceps Tendon Rupture ◽  
Biceps Rupture ◽  
Incision Technique ◽  
Global Impression Of Change

Background Distal biceps rupture presents with an increasing incidence and evidence suggests that although a surgical repair is not mandatory, it results in superior functional outcomes when compared to non-operative management. As implant technology has advanced, several devices have been utilised and studied in managing this pathology. We present our single-centre experience with the use of the ToggleLoc Ziploop reattachment device, a knotless cortical button implant, using a single-incision technique. Methods Retrospective series of 70 consecutive distal biceps tendon repairs, at a mean follow-up of 45.6 months after surgery, using a standardised single implant, single-incision technique, and post-operative rehabilitation programme. Results There was one (1.4%) re-rupture in our patient cohort. The range of motion was complete in all patients except for one patient who had symptomatic heterotopic ossification, causing limitation in pronation. Complications were minor with the commonest being transient neuropraxia of the lateral cutaneous nerve of the forearm. The mean Oxford elbow score was 46.9 out of 48, and the patient global impression of change scale was 7 out of 7 in 77% of cases. Conclusion Our data support this technique and implant combination when dealing with acute and chronic distal biceps tendon rupture.

Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique

2005 ◽  
Vol 14 (3) ◽  
pp. 302-306 ◽  
Author(s):  
Michael D. McKee ◽  
Rahim Hirji ◽  
Emil H. Schemitsch ◽  
Lisa M. Wild ◽  
James P. Waddell
Keyword(s):  
Functional Outcome ◽  
Single Incision ◽  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Tendon Ruptures ◽  
Incision Technique

scholarly journals REINSERTION OF THE DISTAL TENDON OF A BICEPS USING ENDOBUTTON FROM A SINGLE INCISION TECHNIQUE

2020 ◽  
pp. 75-86
Author(s):  
V.G. Lutsyshyn ◽  
V.M. Maiko ◽  
O.V. Maiko ◽  
M.O. Romanov
Keyword(s):  
Single Incision ◽  
Biceps Tendon ◽  
Functional Results ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Correct Sequence ◽  
Incision Technique ◽  
The One ◽  
Radial Tuberosity ◽  
Distal Tendon

Summary. Surgical treatment of biceps distal tendon ruptures shows better functional results, compared to a conservative treatment. Recently, the one-incision surgical technique is becoming more and more popular. Task of the study: representation of a technique to recover a distal biceps tendon with a single incision and fixation with an Endobutton. Materials and methods: the single-incision technique for a distal biceps tendon recovery comprises of several steps: an incision place and layer-wise access, preparation of the distal biceps tendon, preparation of the radial tuberosity, fixation of the tendon. Results. The knowledge of anatomy and the correct sequence of steps in the single-incision technique with the fixation of a tendon with Endobutton (by ChM) makes the recovery of distal biceps tendon efficient, reliable, and, what is more important, safe.

scholarly journals Distal Biceps Tendon Repair Using A Single-incision Approach With Unicortical Intramedullary Button Fixation: Report Early Post-operative Outcomes And Complications

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0036
Author(s):  
Kenneth M. Lin ◽  
Justin Chan ◽  
Brian J. Lin ◽  
Christopher L. Camp ◽  
Grant Hoerig Garcia ◽  
...  
Keyword(s):  
Heterotopic Ossification ◽  
Single Incision ◽  
Biceps Tendon ◽  
Tendon Repair ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Repair ◽  
Cortical Button ◽  
Biceps Tendon Repair

Objectives: While various techniques for distal biceps repair have been described, biomechanical studies have shown cortical button fixation to outperform bone tunnels, intraosseous screws, and suture anchors. Furthermore, numerous studies have shown no difference in complication rate between single- and dual-incision approaches. Thus, it follows that a single-incision approach with cortical button fixation may provide superior clinical outcomes with minimal complications. The purpose of this study is first to investigate intra-operative and short-term complications of distal biceps tendon repair through a single-incision approach using unicortical button fixation, and secondly to assess clinical outcomes. Methods: 52 patients who underwent distal biceps repair with unicortical button fixation (Figure 1) at a single institution from 2014 to 2017 were identified. Exclusion criteria included age less than 18 or greater than 75 years, prior ipsilateral biceps repair, concomitant ipsilateral surgical procedure, and most recent follow-up less than 2 months. Postoperative nerve deficits, flexion and supination strength by manual testing, range of motion, Mayo Elbow Performance Score (MEPS) and radiographs for identification of heterotopic ossification (HO) were obtained and analyzed retrospectively. Results: Fifty-two patients with 53 distal biceps ruptures were included, with mean age 48 years (range 25-71 years). Median time from injury to surgery was 2 weeks (range 1 day to 16 weeks), with 15 patients being treated at greater than 3 weeks from injury. Forty-four patients (83%) had complete tears. Following surgery, average time to final follow-up was 22.8 weeks (range 8-65 weeks). Postoperatively, 49 patients (92.5%) had full range of motion, 48 patients (90.6%) had return of full supination and flexion strength by manual muscle testing (the remaining patients had strength graded as 5-/5). There was no difference in outcomes between those patients treated < 3 weeks from injury compared to those treated > 3 weeks from injury. Two patients (3.8%) initially reported sensory deficit in the lateral antebrachial cutaneous nerve distribution, both cases of which fully resolved by 7 and 11 weeks postoperative. Two patients (3.8%) displayed radiographic evidence of heterotopic ossification, Hastings and Graham class I (Figure 2). One of these was an incidental finding without any clinical symptoms, the other had mild pain but normal strength and neurovascular function. Mean postoperative MEPS was 93.9 (range 60-100), corresponding to “excellent” function (MEPS>90). Conclusion: Distal biceps repair using single incision, unicortical button fixation yields a low rate of complications with good clinical results compared to other techniques reported in the literature. The single incision approach in patients treated between 3 and 16 weeks from injury is safe and resulted in outcomes no different than in those patients treated <3 weeks from injury. Further investigation is warranted in the form of larger, comparative studies with more robust outcome measures and longer term follow up. [Figure: see text][Figure: see text]

The double intramedullary cortical button fixation for distal biceps tendon repair

2011 ◽  
Vol 19 (11) ◽  
pp. 1925-1929 ◽  
Author(s):  
Sebastian Siebenlist ◽  
Florian Elser ◽  
Gunther H. Sandmann ◽  
Arne Buchholz ◽  
Frank Martetschläger ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Tendon Repair ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Cortical Button ◽  
Biceps Tendon Repair ◽  
Intramedullary Cortical Button
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