Surgical repair of the distal biceps brachii tendon: a comparative study of three surgical fixation techniques

Abstract

In summary, we achieved good clinical and functional results after surgical repair of the distal biceps tendon using Corkscrews, Mitek anchors, or transosseous sutures. The results conferred by Corkscrews were comparable to the other techniques, justifying their use.

Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

“…Several surgical options have been described in literature: one incision-approach, using suture anchors, endobutton, biotenodesis screw for fixation, and a double-incision approach, using bone tunnels [8, 15, 19, 21, 22]. Standard and modified double incision approach differ one to each other in ulnar periosteum exposure, avoided by the Morrey’s muscle-splitting technique that reduces risk of synostosis [23, 24].…”

“…No statistically significant differences among groups were observed relative to ROM recovery rate. While no adverse events were described for the double-incision group, LACBN injury was reported in 5 cases in the single-incision cohort of patients [22]. …”

“…Average ROM recovery showed excellent results compared to the healthy contralateral side, except from supination, which is the most impaired function in biceps tendon lesions [3, 22]. …”

Repair Techniques for Acute Distal Biceps Tendon Ruptures

“…Surgical repair is performed with use of either a one-incision approach, originally described by Dobbie 3 , or a two-incision approach, described by Boyd and Anderson 4 . Multiple fixation methods have been developed, including bone tunnels [5][6][7][8][9][10][11][12][13][14][15][16] , suture anchors 2,5,7,9,11,15,[17][18][19][20][21][22] , intraosseous (biotenodesis) screws 5,16,23 , and suspensory cortical buttons 16,[24][25][26][27][28] . The complications of this procedure include lateral antebrachial cutaneous nerve injury, radial sensory nerve injury, superficial infection, deep infection, heterotopic ossification, posterior interosseous nerve palsy, radioulnar synostosis, limited elbow motion, and tendon rerupture 29 .…”

The Biotenodesis Screw and Endobutton Technique for Repair for Acute Distal Biceps Tendon Rupture

“…Cadaveric studies have suggested that the PIN can be incarcerated by the cortical button or drill with drilling at 45 degrees distally or radially, with the mean distance nearing 2 mm. This can be improved by ulna and perpendicular drill hole placement to 11 mm [29][30][31][32][33][34]. This is a small cohort of patients with ADBR undergoing fixation with this dual technique with a 12% loss to follow up rate.…”