EndoButton-assisted repair of distal biceps tendon ruptures

Triple endobuttton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results

“…The metallic buttons can withstand forces in excess of 1,150 Newtons [9]. Thus, the strength and stiffness of the device (CL and 5 strands of #2 Ethibond suture) are much greater than that of the native ligament complex [23].…”

A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report

“…A comparison of biomechanical models of 4 different stabilization methods revealed that the EndoButton method had the highest load to failure (440 N) in comparison to the suture anchor (381 N), bone tunnel (310 N) and interference screw (232 N); the superiority of the EndoButton in this regard was statistically significant [25]. Biomechanical tests by other authors have also revealed that the EndoButton fixation method has a higher load to failure [21,25], but it still has not been proven clinically [26,27]. Since it has been shown to be the strongest form of tendon stabilization when compared with other fixation methods, the EndoButton is seen as enabling early active mobilization.…”

“…Greenberg et al then reported on the higher load to failure of cortical buttons in biomechanical models [21]. Peeters et al noted excellent results in terms of the clinical and radiological assessment of patients an average of 16 months after distal biceps tendon repair with the EndoButton [22].…”

Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo

“…Tendons with degenerative characteristics secondary to bursopathy and conditions that affect collagen metabolism may also be factors predisposing towards this type of lesion (2,(7)(8)(9)(10)(11) . The clinical condition comprises sudden acute pain in the region of the cubital fossa that persists for a few hours, followed by a less intense pain that may When proximal retraction occurs, use of grafts is indicated in order to perform tenodesis (6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . The grafts used generally come from the fascia lata, radial flexor of the carpus, semitendinosus or calcaneal tendon (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) .…”

“…The clinical condition comprises sudden acute pain in the region of the cubital fossa that persists for a few hours, followed by a less intense pain that may When proximal retraction occurs, use of grafts is indicated in order to perform tenodesis (6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . The grafts used generally come from the fascia lata, radial flexor of the carpus, semitendinosus or calcaneal tendon (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . To assess muscle strength after the operation, measurements on the moment of force and torque at constant velocity can be made using the isokinetic test (8,16,17,20) .…”