The authors describe their experience in the treatment of the lesions of the distal tendon of the biceps through the anatomic insertion with Mitek mini-anchors using Henry anterior single-incision access. From 1996 to 2007, 12 patients, all male, average age 51.2 years, were treated for a lesion of the distal tendon of the biceps. In all cases, post-operative pain according to the visual analogical scale, the articular motion of the elbow, the occurrence of neurological disorders and the formation of ectopic ossifications appreciated by radiographies were evaluated. Furthermore, the patient's satisfaction and the impact on his quality of life were assessed using the DASH questionnaire. The results that were evaluated at an average follow-up of 65.6 months were satisfactory: in two cases a temporary deficit in the innervation area of the radial nerve occurred; in two cases ossifications formed at the tendon insertion level but with no clinical repercussions. All patients returned to their previous working activity and their level of satisfaction was good in five cases and very good in the other seven cases. In agreement with literature data, this technique, when compared with other treatment methods, proved effective and safe in the treatment of acute lesions of the distal tendon of the biceps brachii.

Background: There are many methods of treatment for fractures of the wrist and it is true to say that Orthopaedic surgeons are undecided as which method of treatment is best. The particular method of treatment will depend both upon the preference and experience of the surgeon and will also depend upon the nature of the fracture. In particular there are many methods about treatment of extra-articular distal radius fractrures type A2. A3 (Colles fractures). It is also worth saying that traditionally treatment of these fractures has been guided by the statement of Colles in his original paper who said that people with these fractures do well even if the fracture isn't reduced. This has meant that these fractures have tended to be under treated in the past although most Orthopaedic surgeons now realise that treatment of these fractures is important if later problems are to be avoided. This is particularly true these days when patients place greater demands upon their wrists and are less willing to accept limitations of movement and/or pain. Patients and Methods: In this paper, we report our experience with a new plate that has been in use in Europe since April 2005. It is a fixed-amgle intrafocal nail plate. Results: We have treated 25 patients in a period from October 2005 to may 2007. After one year we can only provide provisional results. In all patients we have had a early restart of they common way life without complications though there are, in litterature, cases of rupture of the thumb extensor tendon. Conclusions: the nail plate always has a firm place in our daily routine for those cases where a stable osteosynthes is indicated and in patients that required greater demands upon their wrists and are less willing to accept limitations of movement. IntroduzioneIl trattamento delle fratture del radio distale ha subito un'importante evoluzione dopo l'introduzione delle placche a stabilità angolare, con vantaggio sulla precoce mobilizzazione del polso e delle dita. Questi sistemi di sintesi, però, sono abbastanza invasivi, sia usando un accesso volare sia un accesso dorsale. Per questo è stato ideato da Orbay [1] il chiodo-placca dorsale ("dorsal nail-plate") DNP, che può essere applicato con un piccolo accesso chirurgico dorsale e minore manipolazione dei tendini estensori rispetto alle placche dorsali. Il DNP è un mezzo di sintesi che si può definire misto (chiodo-placca). Esso è costituito infatti da una parte a forma di chiodo che viene inserita intramidollare nel radio prossimale e una parte a forma di placca che viene avvitata con viti o "pin" a stabilità angolare, come una mensola dorsale, sul radio distale fratturato (Fig. 1).