Use of a Bicortical Button to Safely Repair the Distal Biceps in a Two-Incision Approach: A Cadaveric Analysis

Distal Biceps Tendon Repair Using a Double Tension Slide Technique

“…Several single-and 2-incision techniques for distal biceps tendon repairs have been described with bone tunnels, suture anchors, interference screws, and cortical buttons. 4,5,[10][11][12][13][14][15][16][17] Sethi et al demonstrated that the single incision tension slide technique with interference screw had the strongest biomechanical properties. 25 However, reports of interference screw failure with increased risk of fracture through the bone tunnel led the current authors to abandon its use and develop the DTS technique.…”

“…3,[5][6][7][8][9] Several different methods of distal biceps tendon repairs have evolved over the years, including the bone tunnel technique, suture anchor repair, interference screw, and cortical button. 4,5,[10][11][12][13][14][15][16][17][18][19][20][21] Biomechanical studies have compared the different repair methods with suspensory cortical button frequently having the highest load to failure. [11][12][13][22][23][24] The tension slide technique with inference screw was then developed by Sethi et al demonstrating greater load to failure and less gap formation compared with traditional fixation with cortical button.…”

Dynamic rotational alteration in positional relationship of neurovascular structures and distal biceps tendon insertion: a cadaveric study

“…Distal biceps tendon (DBT) is an important surgical landmark in the cubital fossa, and surgical procedures this region may utilise the DBT as a reference structure for safe dissection 1. Dynamic rotation at the proximal radioulnar joint is often performed to facilitate surgical procedures; this rotational change may alter the position of vital NV structures in the cubital fossa, thereby increasing the risk of iatrogenic injury 4–11…”

Preliminary outcome of the repair of distal biceps tendon acute rupture with modified double incision technique

“…Morrey ise daha sonra subperiostal yaklaşımla radioulnar sinostozun arttığını, posteriordan kası split açarak bu komplikasyonun azaltılabileceğini ileri sürmüş ve çift insizyon tekniğini modifiye etmiştir [11]. Modern fiksasyon tekniklerinin gelişmesi (sütür çapası, interference vidası, kortikal düğme aparatı) ile son on yılda anterior tek insizyonla tamir tekrar popülarize olmuştur [12,13] ancak sekonder migrasyon ve posterior interosseoz sinir hasarı riskinin ve heterotropik ossifikasyon komplikasyonunun bu tekniklerle yüksek olduğu da belirtilmiştir [14][15][16][17]. Yakın zamanlı biyomekanik çalışmalar da transosseoz yerleştirme tekniğinin kuvvetinin çapa veya vida ile tenodez tespitinden daha üstün, düğme implantı tespiti ile de benzer olduğunu göstermiştir [18][19][20][21].…”