Distal Biceps Tendon Reconstruction With Tendoachilles Allograft: A Modification of the Endobutton Technique Utilizing an ACL Reconstruction System

Patterson, Ryan W.; Sharma, J.L.; Lawton, Jeffrey N.; Evans, Peter

doi:10.1016/j.jhsa.2008.12.019

Cited by 38 publications

(26 citation statements)

References 24 publications

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“…If unrepaired, the patient will experience weakness associated with supination of the arm and flexion of the elbow. Surgical repair is the gold standard in active patients [1-3]. Several surgical techniques have been described for the repair of the distal biceps brachii tendon, all with comparable biomechanical results and clinical outcomes [4-6].…”

Section: Introductionmentioning

confidence: 99%

Fixation of Acute Distal Biceps Tendon Ruptures Using Mitek Anchors: A Retrospective Study

Wouters

2014

TOORTHJ

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Purpose of this Study:The aim of this study was to evaluate the outcomes of surgical intra-osseous fixation of the distal tendon of the ruptured biceps brachii muscle using Mitek anchors.Materials and Methods:Between 2005 and 2011, seven patients underwent unilateral distal biceps tendon repair using Mitek anchors. All patients were men aged between 36 and 47 years. Six patients were assessed by physical examination and use of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.Results:Surgery was performed within 3 to 17 days of rupture with a mean follow-up of 35 months. Of the six fully completed DASH questionnaires, three patients had a score of 0, and three patients had scores of 5.8, 10 and 10.8, respectively (10.1 is the mean score for the general population). Transient paraesthesias in the lateral antebrachial cutaneous nerve region occurred in two patients and one patient experienced a transient stiffness of the elbow due to scarring of the wound. No major complicatons have occurred.Conclusion:The use of Mitek anchors for the re-insertion of the ruptured distal biceps tendon proved to be a safe and effective technique with excellent functional results in our series.

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Section: Introductionmentioning

confidence: 99%

Fixation of Acute Distal Biceps Tendon Ruptures Using Mitek Anchors: A Retrospective Study

Wouters

2014

TOORTHJ

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“…Other studies confirm similarly successful reconstruction outcomes with Achilles tendon [20,21,25], semitendinosus [26,27] and fascia lata [28,29] allografts and with autologous hamstring grafts [9,30].…”

Section: Resultsmentioning

confidence: 76%

Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

et al. 2019

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Introduction Chronic distal biceps tendon ruptures are rare and conservative or operative treatment options are suitable. There is a consensus in the literature in case of acute traumatic ruptures the operative refixation should be preferred. Disagreement exists in the best way of care of old ruptures (> 4 weeks) of distal biceps tendon. Several kinds of refixation possibilities up to tendon grafts are described. Aim of this publication is showing an overview of the literature of the approved methods in reconstruction of the distal biceps tendon using autogenous and allogenic grafts, comparing the outcomes and transferring them on an own case. Material and Methods A literature research was carried out using the online medical database “PubMed” with the following keywords “chronic rupture distal biceps tendon, surgical techniques”. 59 citations were found concerning the topic, 37 publications were relevant for this work. Results There is consensus that even in chronic ruptures the operative management of the distal biceps tendon generates the best results. Consistently the experiences and results of only little patient collectives are reported. Numerous techniques of surgery are described without predominance of one method. Reinsertions of the tendon butts are reported in different techniques: with achilles, palmaris longus, fascia lata, triceps, quadriceps and semitendinosus tendon grafts. All together they showed postoperative satisfactory results. Conclusion With surgical treatment of chronic ruptured distal biceps tendons comparable outcomes can be achieved by primary refixation and graft augmentations. In case of graft augmentations several tissue options are available which showed in all cases satisfactory functional results in the end.

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“…Both auto- and allografts have been used for this purpose. Several allografts have been reported in the literature,1, 10, 11 including the Achilles tendon, semitendinosus, anterior tibial, and gracilis. Regarding autografts,1, 2, 3, 4 some studies indicated the use of the fascia lata, semitendinosus, and palmaris longus.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the distal biceps tendon using triceps graft: a technical note

Storti¹,

Paniago²,

Faria³

2017

Revista Brasileira de Ortopedia (English Edition)

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Rupture of the distal biceps brachii tendon typically occur in a contraction against resistance with the elbow in 90° of flexion. Chronic ruptures are uncommon and are complicated by tendon and muscle retraction and poor quality. Some reconstruction techniques have been described in the literature, with variations on the surgical exposures, type of graft (allo or autograft), graft donor site, and type of attachment to the radial tuberosity. The authors report the case of a patient presented a rupture of the distal biceps brachii tendon that took place five weeks earlier and, therefore, underwent reconstruction using autograft from the central strip of triceps tendon through double incision and fixation with anchors to the radial tuberosity. The use of the triceps brachii as autograft for reconstruction of chronic ruptures of the distal biceps had not yet been described in the literature. The authors have chosen to use it due to its biomechanical characteristics that qualify it as suitable for this procedure and because this is easier for collection, using the same operating field at the same joint, minimizing the negative effects of the donor area. After six months postoperatively, the patient has full movement arc and restoration of 96% of the flexion strength and 90% of the supination strength when compared with the contralateral limb. This procedure appears to be a good option for cases of chronic distal biceps rupture in older patients who have functional demand of supination.

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Distal Biceps Tendon Reconstruction With Tendoachilles Allograft: A Modification of the Endobutton Technique Utilizing an ACL Reconstruction System

Cited by 38 publications

References 24 publications

Fixation of Acute Distal Biceps Tendon Ruptures Using Mitek Anchors: A Retrospective Study

Fixation of Acute Distal Biceps Tendon Ruptures Using Mitek Anchors: A Retrospective Study

Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

Reconstruction of the distal biceps tendon using triceps graft: a technical note

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