AJSM Click here for details!
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on December 27, 2006, doi:10.1177/0363546506294854
This version was published on February 1, 2007
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Supplementary Data
Right arrow All Versions of this Article:
35/2/252    most recent
0363546506294854v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mazzocca, A. D.
Right arrow Articles by Arciero, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mazzocca, A. D.
Right arrow Articles by Arciero, R. A.
Related Collections
Right arrow Elbow
Right arrow Operative
Right arrow Biomechanics
The American Journal of Sports Medicine 35:252-258 (2007)
© 2007 American Orthopaedic Society for Sports Medicine

Biomechanical Evaluation of 4 Techniques of Distal Biceps Brachii Tendon Repair

Augustus D. Mazzocca, MD*, Kevin J. Burton, MD{dagger}, Anthony A. Romeo, MD{ddagger}, Stephen Santangelo*, Douglas A. Adams, PhD* and Robert A. Arciero, MD*,§

Fromt the * Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, Connecticut, {dagger} Orthopaedic Associates of Hartford, Hartford, Connecticut, and the {ddagger} Department of Orthopaedic Surgery, Rush Medical College, Rush Presbyterian-St. Luke’s Medical Center, Chicago, Illinois

§ Address correspondence to Robert A. Arciero, MD, Department of Orthopaedic Surgery, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06030 (e-mail: arciero{at}nso.uchc.edu).

Background: Recent technical improvements have led the way to a resurgence of the single-incision approach for repair of distal biceps tendon injuries. There has been no biomechanical evaluation of all these techniques with comparison to the standard 2-incision bone tunnel technique.

Hypothesis: There will be no difference under cyclic loading and ultimate failure between the 2-incision bone tunnel technique, suture anchor repair, interference screw, and EndoButton techniques for the repair of distal biceps tendon ruptures.

Study Design: Controlled laboratory study.

Methods: Sixty-three fresh-frozen cadaveric elbows were randomly assigned to 4 treatment groups (bone tunnel, EndoButton, suture anchor, interference screw). Cyclic loading was then performed from 0° to 90° at 0.5 Hz for 3600 cycles with a 50-N load. A differential variable reductance transducer was placed between the radius and distal tendon to determine displacement. The construct was then pulled to failure at 120 mm/min.

Results: A multiple analysis of variance revealed no statistically significant difference for displacement among the 4 repair techniques. Displacement using the bone tunnel was 3.55 mm, EndoButton was 3.42 mm, suture anchor was 2.33 mm, and interference screw was 2.15 mm. There was a statistically significant greater load to failure with EndoButton (440 N) than suture anchor (381 N), bone tunnel (310 N), or interference screw (232 N) (P < .001).

Conclusion: The EndoButton technique had the highest load to failure.

Clinical Relevance: These data demonstrate the EndoButton to be the strongest repair technique, with no failures during cycling at physiologic loads and with the largest load to failure. These findings are important in maximizing surgical results and stability and suggest that the construct can tolerate early postoperative active range of motion.

Key Words: biceps tendon rupture • distal biceps tendon repair • biomechanical evaluation




This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
J. King and M. Bollier
Repair of Distal Biceps Tendon Ruptures Using the EndoButton
J. Am. Acad. Ortho. Surg., August 1, 2008; 16(8): 490 - 494.
[Full Text] [PDF]

Home page
 Am J Sports MedHome page
P. R. Chavan, T. R. Duquin, and L. J. Bisson
Repair of the Ruptured Distal Biceps Tendon: A Systematic Review
Am. J. Sports Med., August 1, 2008; 36(8): 1618 - 1624.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
M. Kettler, M. J. Tingart, J. Lunger, and V. Kuhn
Reattachment of the distal tendon of biceps: FACTORS AFFECTING THE FAILURE STRENGTH OF THE REPAIR
J Bone Joint Surg Br, January 1, 2008; 90-B(1): 103 - 106.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
L. J. Bisson, J. G. de Perio, A. E. Weber, M. T. Ehrensberger, and C. Buyea
Is It Safe to Perform Aggressive Rehabilitation After Distal Biceps Tendon Repair Using the Modified 2-Incision Approach?: A Biomechanical Study
Am. J. Sports Med., December 1, 2007; 35(12): 2045 - 2050.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Orthopaedic Society for Sports Medicine.