Repair of distal biceps tendon rupture with suture anchors

Abstract

We retrospectively evaluated six cases of distal biceps tendon rupture that were treated by a two-incision operative repair using suture anchor attachment to the radial tuberosity for clinical outcome and strength testing. All patients had repair performed by the same surgeon. The average age of the patients, all male, was 43 years (range, 32-57 years). Average time from injury to operative repair was 22 days (range, 9-54 days). Follow-up time averaged 24 months after definitive treatment (range, 11-46 months). At follow-up no patient had limitation of activity and all patients were able to return to their previous employment, although three noted some minor antecubital fossa discomfort. No patient developed a synostosis. Cybex (Medway, Mass.) isokinetic testing revealed elbow flexion strength return for peak torque, total work, and average power, of 107%, 103%, and 110% of the uninjured arm, respectively. Elbow flexion endurance was 2% less in the injured arm. Forearm supination strength measured by peak torque, total work, and average power, was 97%, 85%, and 88% of the uninjured arm, respectively. Forearm supination endurance was 10% less in the injured arm. Our results using suture anchor repair are similar to those previously reported in the literature from bone tunnel repair. Based on our data, we believe that a two-incision repair with suture anchor attachment is a safe and effective method for treatment of distal biceps tendon ruptures.

How we fix free flaps to the bone in oral and oropharyngeal reconstructions

“…Suture anchors have been used extensively in patients for anchoring ligaments, tendons or muscles to the bone [1,2] in orthopaedic surgery [3,4,[16][17][18]. Thereafter the indications have been extended to treatment of pressure sores [11,13,19] to oculoplastic [6,7] and aesthetic surgery [5,8,20].…”

“…Their use has been extensively reported in orthopaedic [1][2][3][4][5] oculoplastic [6,7] and aesthetic surgery [8].…”

Progressive osteolysis of the radius after distal biceps tendon repair with the bioabsorbable screw

“…Various implants are being used for distal biceps tendon repair, including transosseous sutures, 24,44,53 suture anchors, 24,35,36 button, 4 and the bioabsorbable interference screw which has gained popularity in recent years. 23,25,32,52 The bioabsorbable screw has been widely used in knee surgery and, more recently, in shoulder, foot and ankle, spine, and orthopaedic trauma surgery.…”

“…Trans-osseous suture repair described by Morrey et al was the standard operative procedure to fix the distal biceps tendon. 24,44,53 Afterwards, newer fixation techniques of the distal biceps tendon have been introduced and include suture anchors, 24,35,36 bioabsorbable screws, 23,25,32,52 and button. 4 The loads to failure of these fixation techniques have only been investigated in a few biomechanical studies and the results are controversial.…”

Die distale Bizepssehnenruptur

“…7). Die eingangs erwähnten Risiken und Komplikationen der ursprüng-lichen one-incision-technique können hierdurch erheblich reduziert werden [13,[23][24][25].…”