Endobutton versus transosseous suture repair of distal biceps rupture using the two-incision technique: a comparison series

Recordon, James A.F.; Misur, Peter; Isaksson, Fredrik; Poon, Peter C.

doi:10.1016/j.jse.2014.12.032

Cited by 43 publications

(20 citation statements)

References 22 publications

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“…It should be also noted that clinical superiority of cortical button fixation in contrast to other fixation techniques has not yet been confirmed in the literature. Recordon et al [ 7 ] reported recently (2015) a retrospective comparative study between cortical button (19 patients) and transosseous suture fixation (27 patients) in acute distal biceps ruptures utilizing a 2-incision approach and found no significant statistical differences in subjective patient evaluation, pain, range of motion, supination strength, and overall complications. Despite prompt immobilization in a cast for 6 weeks in the transosseous group, the clinical performance was similar at the latest follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Results of surgical repair have been superior to nonsurgical treatment in terms of improving elbow strength in flexion and supination, as well as overall upper extremity endurance [ 3 , 4 ]. Single-incision techniques and two-incision approaches have been described using a variety of fixation methods, including transosseous suture repair [ 5 – 7 ], suture anchors, [ 8 , 9 ] cortical button fixation, [ 7 , 10 – 13 ] double intramedullary cortical button, [ 14 ] interference screws (alone [ 15 ] or in conjunction with a cortical button [ 16 ]), and endoscopic assisted techniques [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical studies that report on clinical outcomes and complication rates of cortical button fixation are scarce and are generally of small numbers with low levels of evidence [ 7 , 23 – 28 ]. Despite the reported good clinical results and high patient satisfaction, the technique has been associated with several complications such as heterotopic ossification (HO), nerve injuries, and failure of the repair [ 25 , 29 – 33 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes and Complications of Cortical Button Distal Biceps Repair: A Systematic Review of the Literature

Panagopoulos

Tatani

Tsoumpos

et al. 2016

Journal of Sports Medicine

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Objectives. The purpose of the present study was to investigate the clinical outcomes and complications of the cortical button distal biceps fixation method. Material and Methods. All methods followed the PRISMA guidelines. Included studies had to describe clinical outcomes and complications after acute distal biceps repair with cortical button fixation. Eligibility criteria also included English language, more than 5 cases with minimum follow-up of 6 months, and preferably usage of at least one relevant clinical score (MEPS, ASES, and/or DASH) for final outcome. A loss of at least 30° in motion—flexion, extension, pronation, or supination—and a loss of at least 30% of strength were considered an unsatisfactory result. Results. The review identified 7 articles including 105 patients (mean age 43.6 years) with 106 acute distal biceps ruptures. Mean follow-up was 26.3 months. Functional outcome of ROM regarding flexion/extension and pronation/supination was satisfactory in 94 (89.5%) and 86 (82%) patients in respect. Averaged flexion and supination strength had been reported in 6/7 studies (97 patients) and were satisfactory in 82.4% of them. The most common complication was transient nerve palsy (14.2%). The overall reoperation rate was 4.8% (5/105 cases). Conclusion. Cortical button fixation for acute distal biceps repair is a reproducible operation with good clinical results. Most of the complications can be avoided with appropriate surgical technique.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes and Complications of Cortical Button Distal Biceps Repair: A Systematic Review of the Literature

Panagopoulos

Tatani

Tsoumpos

et al. 2016

Journal of Sports Medicine

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“…Several complications after surgical treatment have been reported, including nerve injuries, heterotopic ossification, and re-ruptures (9). To date, no consensus has been reached regarding the preferred fixation method (10), including suture anchors (11)(12)(13), bone tunnels, interference screws (14,15), or cortical buttons (16)(17)(18). The cortical button method has higher load to failure, as confirmed in biomechanical tests (19,20).…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of acute distal biceps tendon ruptures with ToggleLoc. Clinical, functional and radiographic outcomes at 5-year follow-up

Lanzetti

Lupariello

Topa

et al. 2019

Muscle Ligaments and Tendons J

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Background. Distal biceps brachii tendon ruptures are a relatively uncommon injury, with a reported incidence of 0.9 to 1.8 per 100,000 people per year. The aim of this study is to report the clinical, functional, radiographic outcomes of the distal biceps tendon repair with Toggle Loc at 5 year follow up. Methods. All the patients operated on for distal biceps brachii reapair with Toggle Loc from April 2010 and April 2012 were enrolled in this study. The clinical follow-up was performed at 6, 12 months from surgery and at the final follow up with: DASH score, VAS scale, ROM, Physical examination. We measured Range Of Motion (ROM) of elbow flexion-extension and pronation-supination per kilogram of body weight as well as the peak and mean (three cycles) torque during the aforementioned movements and compared these findings with the contralateral side, respectively. Preoperative X-rays and Ultrasound were performed. Results. Clinical evaluation showed improved outcomes at the final and intermediate follow ups with a good recovery of the range of motion.Isokinetic evaluation showed a recovery of the strenght. Ultrasound evaluation showed no case of re rupture. Conclusion. the anatomic technique with Toggle Loc for the acute repair of distal biceps brachii rupture is a safe and effective surgical approach for this lesion.

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“…Treatment options for the distal biceps tendon rupture also include either one- or two-incision techniques [ 11 ]. Several complications after surgical treatment have been reported, including nerve injuries, heterotopic ossification, and re-ruptures [ 1 ].To date, no consensus has been reached regarding the preferred fixation method [ 12 ], including suture anchors [ 13 – 15 ], bone tunnels, interference screws [ 16 , 17 ], or cortical buttons [ 18 – 20 ]. The cortical button method has higher load to failure, as confirmed in biomechanical tests [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Evaluation of Surgical Anatomical Repair of Distal Biceps Brachii Tendon Rupture Using Suture Anchor Fixation

et al. 2017

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BackgroundTo date, no consensus has been reached regarding the preferred fixation method to use in the repair of distal biceps brachii tendon rupture. The aim of this study was to clinically and functionally (Mayo Elbow Performance Index, MEPI) assess the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon with the use of suture anchor fixation method with regard to postoperative time and limb dominance, and to assess postoperative complications.Material/MethodsThe sample comprised 18 males (age 52.09±8.89 years) after surgical anatomical distal biceps brachii reinsertion using suture anchor fixation. A comprehensive clinical and functional evaluation and pain assessment were performed.ResultsIn terms of postoperative complications, an isolated case of surgical site sensory disturbances was noted. Circumferences (p-value 0.21–1.00) and ROM (p-value 0.07–1.00) were similar in the operated and nonoperated limbs. The isometric torque (IT) values of muscles flexing and supinating the forearm were comparable in both limbs (p-value 0.14–0.95), but in patients with the operated dominant limb, the mean IT value was not higher than the value obtained in the nonoperated nondominant one. The MEPI indicated good and excellent results (80.00±15.00–90.00±8.66 points), but a detailed individual analysis showed that reported scores were not in line with objectively measured features.ConclusionsThe results of the comprehensive retrospective evaluation justify the clinical use of suture anchors fixation method in the surgical anatomical reinsertion of a ruptured distal biceps brachii tendon. The assessment of a patient should always report both subjective and objective measures.

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Endobutton versus transosseous suture repair of distal biceps rupture using the two-incision technique: a comparison series

Cited by 43 publications

References 22 publications

Clinical Outcomes and Complications of Cortical Button Distal Biceps Repair: A Systematic Review of the Literature

Clinical Outcomes and Complications of Cortical Button Distal Biceps Repair: A Systematic Review of the Literature

Reconstruction of acute distal biceps tendon ruptures with ToggleLoc. Clinical, functional and radiographic outcomes at 5-year follow-up

Retrospective Evaluation of Surgical Anatomical Repair of Distal Biceps Brachii Tendon Rupture Using Suture Anchor Fixation

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