TITLE

Anatomical refixation for acute ruptures of the distal biceps tendon using a novel transcortical refixation system

AUTHOR(S)
Niemeyer, Philipp; Köstler, Wolfgang; Bley, Thorsten; Göbel, Heike; Brook, Christopher J.; Südkamp, Norbert P.; Strohm, Peter C.
PUB. DATE
June 2008
SOURCE
Archives of Orthopaedic & Trauma Surgery;Jun2008, Vol. 128 Issue 6, p573
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In this study, minimally invasive CurvTek refixation is introduced as a novel approach for repair of distal biceps tendon ruptures. Exploration at the radial tuberosity is minimized using CurvTek, thereby reducing operative trauma. Treatment outcomes were compared for this technique against the conventional technique. In addition, we introduce position-dependent isometric myometry to allow quantitative measures of post-operative strength at specific elbow joint positions, for improved comparative analyses. Eighteen patients were included in this study and the mean follow-up was 17.6 months (range 6–35, SD ± 6.9). Nine patients underwent conventional anatomical refixation, while the remaining nine patients underwent anatomical refixation using CurvTek-sutures. Clinical results and position-dependent strength were compared. Mean age was 49.8 years (range 38–61; SD ± 5.8). The average EFA-score was 82.2 (range 61–97; SD ± 9.8). The CurvTek group scored a mean 87.0 (range 77–97; SD ± 7.0) and the conventional anatomical refixation group a mean 77.4 (range 61–93; SD ± 10.2) ( P = 0.091). Position-dependent dynamic myometry revealed a loss of strength at end stage flexion and supination in the injured arm. Comparison of the two groups, revealed a statistically significant improvement in relative supination strength in the maximally supinated position for patients of the CurvTek group over those undergoing conventional refixation ( P = 0.009). Our results show that the CurvTek system leads to good post-operative strength and ROM without increasing the complication rate.
ACCESSION #
31722157

 

Related Articles

  • The functional outcome of forty-nine single-incision suture anchor repairs for distal biceps tendon ruptures at the elbow. Siebenlist, Sebastian; Fischer, Stephanie; Sandmann, Gunther; Ahrens, Philipp; Wolf, Petra; Stöckle, Ulrich; Imhoff, Andreas; Brucker, Peter // International Orthopaedics;Apr2014, Vol. 38 Issue 4, p873 

    Purpose: The objective of this retrospective study was to evaluate the functional results of distal biceps tendon repair using suture anchors via a single-incision approach. Methods: Forty-nine patients were re-examined at a mean follow-up of 44.2 ± 32.1 months (range, 12-119 months)....

  • Reattachment of an avulsed distal biceps tendon in athletes. Bohnsack, Michael; Rühmann, Oliver; Hurschler, Christof; Börner, Constanze; Wirth, Carl Joachim // European Journal of Orthopaedic Surgery & Traumatology;Jan2007, Vol. 17 Issue 1, p37 

    Refixation of the ruptured distal biceps tendon to the radial tuberosity in a two-incision technique restores power and function. Between 1995 and 1999 a refixation of the ruptured distal biceps brachii tendon on the tuberositas radii was performed in four athletes (three gymnasts and one...

  • Arthroscopic knotless suprapectoral tenodesis of the long head of biceps: clinical and structural results. Kerschbaum, Maximilian; Scheuermann, Mitja; Gerhardt, Christian; Scheibel, Markus // Archives of Orthopaedic & Trauma Surgery;Aug2016, Vol. 136 Issue 8, p1135 

    Introduction: Different techniques for tenodesis of the long head of biceps (LHB) have been described. Previous studies focused on intraosseously performed techniques while only little clinical data exists for epiosseously performed knotless LHB tenodesis. The hypothesis is that...

  • Pretensioning of quadruple flexor tendon grafts in two types of femoral fixation: quasi-randomised controlled pilot study. Kawano, Cezar Teruyuki; Fucs, Patrícia Maria de Moraes Barros; Severino, Nilson Roberto // International Orthopaedics;Apr2011, Vol. 35 Issue 4, p521 

    Pretensioning of the flexor tendon graft of the knee is used to improve the stability of anterior cruciate ligament (ACL) reconstructions. The objective was to demonstrate the pretensioning of grafts of the semitendinosus and gracilis in situ with range of flexion and extension of 0-110°, and...

  • Biceps tenodesis with interference screw: cyclic testing of different techniques. Hapa, Onur; Günay, Cüneyd; Kömürcü, Erkam; Çakıcı, Hüsamettin; Bozdağ, Ergun // Knee Surgery, Sports Traumatology, Arthroscopy;Dec2010, Vol. 18 Issue 12, p1779 

    Different surgical techniques exist for biceps tenodesis. The most secure fixation technique is with interference screws. The purpose of the study was to compare the biomechanical performance of three different interference screw biceps tenodesis fixation methods, which involve different tunnel...

  • Interference screw for fixation of FDL transfer in the treatment of adult acquired flat foot deformity stage II. Charwat-Pessler, Christoph; Hofstaetter, Stefan; Jakubek, Doris; Trieb, Klemens; Charwat-Pessler, Christoph Georg; Hofstaetter, Stefan Gerhard; Jakubek, Doris Elvira // Archives of Orthopaedic & Trauma Surgery;Oct2015, Vol. 135 Issue 10, p1369 

    Introduction: Flexor digitorum longus transfer and medial displacement calcaneal osteotomy have shown favourable results in the treatment of adult acquired flat foot deformity stage 2. Little is known about the resorbable interference screw for tendon fixation and postoperative...

  • Wrist arthroscopy and intra-articular fractures of the distal radius in young adults. Hardy, Philippe; Gomes, Nuno; Chebil, Mounir; Bauer, Thomas // Knee Surgery, Sports Traumatology, Arthroscopy;Nov2006, Vol. 14 Issue 11, p1225 

    Unlabelled: The difficulty on treatment of articular fractures of the distal radius comes from their comminutive character and frequency of ligamentous lesions associated, turning diagnosis and assessment always subject to discussion. Fracture reduction and fixation under...

  • Efficacy of minimally invasive techniques for enhancement of fracture healing: evidence today. Ippokratis Pountos; Theodora Georgouli; George Kontakis; Peter Giannoudis // International Orthopaedics;Jan2010, Vol. 34 Issue 1, p3 

    Abstract  The successful treatment of nonunions represents a major challenge for orthopaedic surgeons. Lately, ongoing advances made in the field of molecular medicine and molecular biology have increased our understanding of the pathways and involvement of mediators surrounding...

  • Minimally Invasive Plate Osteosynthesis in Distal Tibial Fractures: Pitfalls and Surgical Guidelines. Ghera, Stefano; Santori, Francesco Saverio; Calderaro, Michele; Giorgini, Tara L. // Orthopedics;Sep2004, Vol. 27 Issue 9, p903 

    Presents a minimally invasive plate osteosynthesis as a surgical treatment for distal and tibial pilon fractures. Principles of reduction used when addressing pilon fractures; Description of the surgical technique; Requirements for conducting a minimally invasive plate osteosynthesis.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics