scholarly journals Distal Biceps Tendon Repair Using a Double Tension Slide Technique

2020 ◽  
Vol 9 (5) ◽  
pp. e683-e689
Author(s):  
Kyle R. Sochacki ◽  
Zachary T. Lawson ◽  
Robert A. Jack ◽  
David Dong ◽  
Andrew B. Robbins ◽  
...  
2019 ◽  
pp. 175857321986430
Author(s):  
Victor Rutka ◽  
Florent Weppe ◽  
Sonia Duprey ◽  
Laure-Lise Gras

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.


2017 ◽  
Vol 41 (12) ◽  
pp. 2565-2572 ◽  
Author(s):  
David D. Savin ◽  
Hristo Piponov ◽  
Jonathan N. Watson ◽  
Ari R. Youderian ◽  
Farid Amirouche ◽  
...  

Author(s):  
Anirudh K. Gowd ◽  
Joseph N. Liu ◽  
Bhargavi Maheshwer ◽  
Grant H. Garcia ◽  
Edward C. Beck ◽  
...  

2014 ◽  
Vol 8 (1) ◽  
pp. 52-55 ◽  
Author(s):  
M. Al-Taher ◽  
Diederick B. Wouters

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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