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Purpose The aim of our study is to compare the modified double incision (DI) with bone tunnel reinsertion with the single-incision (SI) double tension slide technique in terms of clinical and functional outcomes and complication rates. Methods A retrospective comparative analysis was performed on 65 patients treated for total distal biceps tendon rupture. The surgical technique adopted for each patient was based on the preference of two experienced elbow surgeons. The DASH and MAYO questionnaires, functional outcome and ROM were recorded in all subjects. Results Of 65 patients, we collected data of a cohort of 54 distal biceps tendon ruptures that satisfied inclusion criteria. Twenty-five were treated by modified DI and 29 SI techniques. The recovery of the complete ROM in terms of flexion/extension and prono-supination occurred in the 79.6% of the patients, without statistical significant difference between the adopted technique. We reported a complication rate of 12% and 20.7% for DI and SI techniques, respectively, without statistical correlation (P = 0.84). The average DASH score was similar for DI and SI techniques without significant differences (P = 0,848). The Mayo score results were excellent in the majority of the patients. No significant difference in MAYO results was reported comparing the surgical techniques (P = 1). Conclusion Both techniques provide a reliable and strong repair with an optimal recovery of ROM returning to preinjury activity with substantially overlapping timelines.

BacKGrOUNdː acromioclavicular (ac) joint dislocation is a frequent shoulder injury. dozens of surgical techniques have been described but nowadays there is no evidence supporting a specific technique as the gold standard for acute ac joint injury. the aim of the present study was to investigate the difference between suspensory button and double tunnel suture loop techniques in terms of the quality of the acromioclavicular joint reconstruction by comparing functional assessment, clinical scores, and postoperative complication rate. MethOdsː We performed a retrospective comparative analysis of 63 patients treated for acute isolated ac dislocation: 36 treated with suspensory button technique, 27 treated with double tunnel suture loop technique. surgical time of both procedures was collected and examined. constant-Murley and dash scores at 1-year follow-up were compared. the complications such as clavicular fracture, nerve damage, infection and recurrence of dislocation were recorded and analyzed. ac joint displacement ratio was measured on 1-year X-ray considering values greater of 0.5 as recurrence of dislocation. resULtsː the statistical analysis did not show any statistical difference of surgical time, constant-Murley score, dash score and the complication rate between the two surgical techniques. cONcLUsiONsː Both techniques ensure a strong and reliable acromioclavicular repair with satisfactory functional and clinical assessments, so surgical technique choice should be guided by the habit of the surgeon.

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