Biomechanical in Vitro Validation of Intramedullary Cortical Button Fixation for Distal Biceps Tendon Repair

Siebenlist, Sebastian; Lenich, Andreas; Buchholz, Arne; Martetschläger, Frank; Eichhorn, Stefan; Heinrich, P; Fingerle, Alexander A.; Doebele, Stefan; Sandmann, Gunther H.; Millett, Peter J.; Stöckle, Ulrich; Elser, Florian

doi:10.1177/0363546511404139

Cited by 51 publications

(58 citation statements)

References 41 publications

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“…Previous investigations have described the standard structure of the radial tuberosity in many biomechanical studies [4,14,22]. Prior CT measurements were valuable when assessing the different loads to failure and displacement of the multiple techniques of reinsertion.…”

Section: Discussionmentioning

confidence: 99%

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Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Lázaro-Amorós¹,

Tomás-Batlle

Ballesteros-Betancourt

et al. 2016

Surg Radiol Anat

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Based on the results of this anatomic study which have demonstrated that anterior cortex and anterior trabecular bone of the medial and distal regions of the bicipital tuberosity are thicker than proximal part, we postulate that these segments could give better pulling out resistance to monocortical implants. Our findings suggest that the strongest parts of the bicipital tuberosity are the proximal and medial parts of the posterior cortex. We can afford them drilling across the radius using a bicortical implant in the proximal and medial section of the radial tuberosity. Furthermore, we suggest that an increased margin of safety could be achieved to prevent injury to the posterior interosseous nerve, drilling the cortical hole in the proximal part of the radial tuberosity without losing resistance properties.

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Section: Discussionmentioning

confidence: 99%

“…Sixteen unpaired cryopreserved adult radius (eight left and eight rights) were used for this study; the sample size was estimated based on historical bibliography from similar studies [14,22]. This procedure was developed in the Department of Anatomy at the Universitat de Barcelona, Spain.…”

Section: Methodsmentioning

confidence: 99%

Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Lázaro-Amorós¹,

Tomás-Batlle

Ballesteros-Betancourt

et al. 2016

Surg Radiol Anat

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“…They have shown that biomechanical characteristics for this repair technique are comparable or superior to suture anchor repair and bicortical button fixation, respectively [18, 30]. Buchholz et al also found no major differences between monocortical button fixation versus interference screw for subpectoral proximal biceps tenodesis [31].…”

Section: Discussionmentioning

confidence: 99%

V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation

et al. 2017

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BackgroundThis report was designed to present a novel technique combining suture anchor and unicortical button fixation for distal triceps tendon repair.Technical descriptionFor anatomical reinsertion of an acute distal triceps tendon rupture, two suture anchors and one unicortical button forming a V-shaped configuration were used. The operative approach is described in detail.ResultsExcellent clinical and functional results were achieved in the early postoperative phase. The patient reached full elbow range of motion and extension muscle strength (5/5) compared to the uninjured arm 12 weeks after surgery. Complications did not occur.ConclusionThis is the first report using unicortical button fixation in distal triceps tendon repair with promising preliminary results.Level of evidenceTechnical description, case report, Level V

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“…Interference screws enable good fixation, but over the long term they diminish the area of biological healing by around 50%, since the region of screw insertion may not heal, as well as possibly causing osteolysis. The technique of using interference screws in association with Endobutton ® is the method that presents greatest resistance to traction (27) , but it has the same problems as shown in using interference screws and Endobutton ® separately. Transosseous stitches (22) have demonstrated satisfactory results in our experience, although they present lower fixation strength than shown by Endobutton ® and interference screws.…”

Section: Discussionmentioning

confidence: 99%

Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo

Júnior¹,

Filho²,

Mello³

et al. 2012

Rev. bras. ortop.

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Objective: To evaluate the functional outcome among patients with distal biceps injuries who were operated using the Mayo mini-double route technique, with a minimum follow-up of six months after surgery, through digital isokinetic dynamometry, goniometry and subjective scores in order to establish objective and subjective improvement patterns and discuss the effectiveness of the procedure. The authors declare that there was no conflict of interest in conducting this work This article is available online in Portuguese and English at the websites: www.rbo.org.br and www.scielo.br/rbort conventional goniometry were also used. Results: Digital dynamometer showed that using the angular velocity of 30°/s with five repetitions, there was an average flexion deficit of 9.6% and an average supination deficit of -28.97%. Using an angular velocity of 120°/s with fifteen repetitions, the average flexion deficit was 4.43% and the average supination deficit was -24.1%. Conclusions: The loss of flexion followed the pattern already shown in the literature. However, in our series, there were supination strength gains, possibly due to the strict rehabilitation protocol. The technique used in this study was safe and low-cost, with few complications and good functional results.

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Biomechanical in Vitro Validation of Intramedullary Cortical Button Fixation for Distal Biceps Tendon Repair

Cited by 51 publications

References 41 publications

Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

Bicipital tuberosity bone characteristics in surgical reattachment of the distal biceps: anatomical and radiological study

V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation

Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo

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