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MINERVA ORTOPEDICA E TRAUMATOLOGICA

A Journal on Orthopedics and Traumatology


Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2008 February;59(1):43-8

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Distal biceps tendon ruptures. Refixation techniques, biomechanical results and clinical implementation

Kettler M. 1, Tingart M. J. 2, Lunger J. 3, Kuhn V. 4

1 Orthopedic Department Redcross Hospital Munich, Munich, Germany
2 Department of Orthopedic Surgery University of Regensburg, Regensburg, Germany
3 Surgical Department Redcross Hospital Munich, Munich, Germany
4 Department of Trauma Surgery and Sports Medicine Medical University of Innsbruck Innsbruck, Austria


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Surgical refixation is the most favored treatment for a rupture of the distal biceps tendon. Non-operative treatment leads to less strength in flexion and supination of the forearm. A variety of techniques have been described for distal biceps tendon reattachment including transosseous sutures, suture anchors, Tenodesis screws and an EndoButton™ based technique. Tendon repair can be performed via a two-incision or a single anterior incision approach. Biomechanical studies reveal that anchor based as well as transosseous fixation of the distal biceps tendon allow early postoperative rehabilitation. Best results can be gained with the use of an EndoButton™. To date the clinical evidence reported in the literature show good to excellent results with both procedures and does not support a special approach nor a refixation device. Both surgical strategies show similar low numbers of complications. Chronic ruptures may be treated with tendon or fascial grafts.

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