Outcomes of distal biceps tendon reattachment using the ToggleLoc™ fixation device with ZipLoop™ technology with single mini-open technique

Alech-Tournier, Florie; Elkholti, Kamil; Locquet, Alexandre; Ninou, M.; Gibert, N.; Pozzetto, M.; Breden, F.; Rostoucher, P.; Marc, Antoine; Erhard, L.; Vogels, J.

doi:10.1007/s00590-019-02376-9

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…Furthermore, in a recent clinical study of 38 patients, Alech-Tournier et al did not report cortical fracture using the same knotless device. 22 Our elongations results are slightly higher than those published elsewhere. For classic endobutton techniques, Mazzocca et al 9 found 3.42 mm, Spang et al 11 2.58 mm, Sethi et al 15 2.79 mm and only 1.26 mm when using the TST technique.…”

Section: Discussioncontrasting

confidence: 70%

“…3,24 In their recent study, Alech-Tournier et al using the same device allowed rehabilitation at one week post-operatively with good clinical result and no re-rupture rate. 22 Re-rupture rate using endobutton fixation ranges from 0.9% to 1.9% in the literature. 25 Most of the failures occur within the three weeks because of accidental eccentric contraction, leading to suture failure.…”

Section: Discussionmentioning

confidence: 99%

“…Following these cycles, all failures were numbered: transplant ruptures of any kind (suture, tendon, bone), all tendon elongations at the bone-tendon interface greater than 1cm (which could seriously alter tendon-to-bone healing 21 ).…”

Section: Experimental Protocolmentioning

confidence: 99%

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Distal biceps tendon repair via new knotless endobutton fixation: A biomechanical study

Rutka¹,

Weppe²,

Duprey

et al. 2019

Shoulder & Elbow

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Background Distal biceps tendon repair using endobutton fixation has shown the best biomechanical results in terms of pullout strength. Here, we compared Sethi’s enhanced tension adjustable endobutton technique known as the “tension slide technique” to a new knotless endobutton fixation technique without a post-fixation screw. Our new approach is as effective as the tension slide technique in terms of pullout strength and gapping after early mobilization. Methods A biomechanical cadaveric study with 16 paired arms was performed. With the radius held in place, the distal biceps tendon was loaded at 100 N for 500 cycles and the load was then increased until failure. Gapping after loading cycles and maximum load to failure were recorded and compared. Results Median bone-tendon gapping was 5.77 mm (interquartile range (IQR) 4.84–9.11) for tension slide technique and 4.72 mm (IQR 1.77–6.16) for the knotless fixation (p = 0.047). Median load to failure was 257.87 N (IQR 222.07–325.35) in the tension slide technique group and 407.78 N (IQR 358.54–485.20) in the knotless group (p = 0.047). Discussion The knotless endobutton provides better pullout strength and elongation results compared to the tension slide technique without the use of an interference screw, allowing early mobilization in order to faster return to daily living activities. Level of evidence: Basic science study.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

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Distal biceps tendon repair via new knotless endobutton fixation: A biomechanical study

Rutka¹,

Weppe²,

Duprey

et al. 2019

Shoulder & Elbow

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“…Of the 12 included studies, 10 were full-length original research articles that could be further subdivided into 6 retrospective reviews 1,13,20,21,23,26 and 4 case series 6,18,25,27 ; 2 research articles 4,15 were retrospective cohort studies with control groups. All studies were performed in a retrospective manner.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 6 articles in this group, 4 demonstrated similar outcome results between acute and chronic repairs. 1,20,21,23 Alech-Tournier et al 1 demonstrated excellent outcomes in both chronic and acute direct repairs; however, it was the only study out of 14 that reported 4 cases of HO, all of which occurred in the acute repair group (<9 days to surgery) using a single-incision technique. In their study, 17 patients (44.7%) had postoperative episodes of LABCN paresthesia, which was a much higher rate than that seen in other studies in this review.…”

Section: Discussionmentioning

confidence: 99%

Surgical Results of Chronic Distal Biceps Ruptures: A Systematic Review

Bajwa

Simon

Leith

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Distal biceps tendon tears can cause weakness and fatigue with activities requiring elbow flexion and supination. Surgical management of chronic tears (>21 days) is not well described in the literature. Purpose: To determine the clinical outcomes of chronic distal biceps repairs and reconstructions. Study Design: Systematic review; Level of evidence, 4. Methods: We performed a search of Medline (PubMed and Ovid), EMBASE, CINAHL physical therapy, Cochrane Database of Systematic Reviews and Central Register of Controlled Trials, and PubMed Central from inception until September 29, 2020, to identify articles on chronic distal biceps ruptures. The inclusion criteria were studies with at least 1 outcome measure and 10 patients with chronic distal biceps ruptures treated surgically. The quality of the included studies was assessed with the methodological index for nonrandomized studies (MINORS) score. Functional outcomes and complications were reviewed. Results: A total of 12 studies were included after systematic database screenings. The MINORS scores ranged from 5 to 19. There were a total of 1704 distal biceps ruptures, of which 1270 were acute and 434 were chronic. Average follow-up time was 12 months to 5.1 years. Single-incision (n = 3), 2-incision (n = 2), or both (n = 6) surgical techniques were used in these studies. Four studies described the use of autografts, and 4 articles used allografts in the chronic repair. Range of motion, function, and strength outcomes were similar when compared with the contralateral arm. Pain was reduced to minimal levels. Main postoperative complications were of paresthesia (specifically to the lateral antebrachial cutaneous nerve), which were temporary in 69.1% of cases. Conclusion: The results of this review indicate that surgical management of chronic distal biceps ruptures demonstrates improvement in outcomes including pain reduction and functional ability. Although there may be a slightly higher immediate complication rate, the functional outcomes remain comparable with those seen in the patient population with acute distal biceps.

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Operative vs. nonoperative treatment of distal biceps ruptures: a systematic review and meta-analysis

Looney

Day

Bodendorfer

et al. 2022

Journal of Shoulder and Elbow Surgery

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Outcomes of distal biceps tendon reattachment using the ToggleLoc™ fixation device with ZipLoop™ technology with single mini-open technique

Cited by 15 publications

References 17 publications

Distal biceps tendon repair via new knotless endobutton fixation: A biomechanical study

Distal biceps tendon repair via new knotless endobutton fixation: A biomechanical study

Surgical Results of Chronic Distal Biceps Ruptures: A Systematic Review

Operative vs. nonoperative treatment of distal biceps ruptures: a systematic review and meta-analysis

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