Single incision technique for distal biceps tendon repair: using the endobutton

Fox, Jeff A.; Fernandez, John J.

doi:10.1053/otsm.2003.35891

Cited by 12 publications

(10 citation statements)

References 6 publications

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“…The anatomical description of a high degree of fascicle interconnection within the distal biceps tendon supports the use of suture anchor (Burton and Arciero, 2003) and endobutton (Bain et al, 2000;Fox and Fernandez, 2003;Bain et al, 2005) techniques when surgical repair is required. It has been previously reported that endobutton repairs had the greatest pull out strength (Chavan et al, 2008), but this has been refuted (Henry et al, 2007).…”

Section: Discussionmentioning

confidence: 74%

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Distal biceps brachii tendon anatomy revisited from a surgical perspective

et al. 2009

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The distal biceps brachii tendon is commonly susceptible to traumatic injury. This study aimed to describe the morphology of the distal biceps brachii tendon in relation to the commonly used endobutton repair of tendon rupture. The results suggested that the distal tendon is a series of distinct bands of variable number. These bands are obscured surgically by the tendon sheath. Upon opening this sheath, blunt dissection of the tendon released fibrous connections between the tendon bands. Adjacent bands were variably connected via small oblique bands. The separations between bands were continuous onto the radius. They were therefore considered as separate force-conducting units. This notion is of high relevance to endobutton repairs, as the sutures are typically only passed through the margins of the tendon. Where few connections exist between tendinous bands, this represents a potential weakness, as central bands are therefore free to be pulled proximally. This is of primary concern in the early rehabilitative stages of postoperative care. It may be suggested that sutures that cross the width of the tendon will eliminate the give of central bands, improving postoperative results, reducing revision numbers, and potentially reducing rehabilitation time.

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Section: Discussionmentioning

confidence: 74%

“…It is possible that tendons with fewer interconnections may be more vulnerable to post-repair damage, but this is yet to be tested mechanically. Commonly used procedures typically only utilize the margins of the tendon (Bain et al, 2000;Burton and Arciero, 2003;Fox and Fernandez, 2003;Bain et al, 2005) (Fig. 6b).…”

Section: Discussionmentioning

confidence: 99%

Distal biceps brachii tendon anatomy revisited from a surgical perspective

et al. 2009

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“…A comparison of biomechanical models of 4 different stabilization methods revealed that the EndoButton method had the highest load to failure (440 N) in comparison to the suture anchor (381 N), bone tunnel (310 N) and interference screw (232 N); the superiority of the EndoButton in this regard was statistically significant [25]. Biomechanical tests by other authors have also revealed that the EndoButton fixation method has a higher load to failure [21,25], but it still has not been proven clinically [26,27]. Since it has been shown to be the strongest form of tendon stabilization when compared with other fixation methods, the EndoButton is seen as enabling early active mobilization.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report

Witkowski¹,

Kentel²,

Królikowska³

et al. 2017

Polim. Med.

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“…Some authors advocate a 2-incision technique to better visualize the radial tuberosity and minimize the dissection necessary in the antecubital fossa, 1,8,27 while other authors feel that the tuberosity can be visualized adequately with a single anterior incision with less risk of heterotopic ossification. 3,9,15,25,42 A technique through a single anterior 1.5 cm incision has also been described recently using an endoscope. 36 Repair of the tendon to the brachialis muscle and bone using sutures tied over a bony bridge, suture anchors, screw and washer, endobutton, and the use of an interference screw have all been described.…”

mentioning

confidence: 99%

“…36 Repair of the tendon to the brachialis muscle and bone using sutures tied over a bony bridge, suture anchors, screw and washer, endobutton, and the use of an interference screw have all been described. 6,9,15,25,27,36,37,39,[41][42][43] Whichever technique is chosen, performing an anatomic repair should always be the goal to best restore function. 24 Anatomy textbooks provide a vague description of the insertion of the tendon onto the radial tuberosity, but they fail to address the footprint of the tendon on the tuberosity or the rotational position of the tuberosity on the radius.…”

mentioning

confidence: 99%