Sports medicine and arthroscopy review
-
Various techniques have been described to repair the distal biceps tendon. The optimal technique would incorporate a limited 1-incision technique with maximal strength and minimal gapping of the repair to allow early range of motion. We describe a modified use of a cortical button, the tension-slide technique, which allows for a transverse anterior incision and the ability to tension and dock the repair through the anterior incision. There is no need to predetermine the length of suture between the button and the biceps and elimination of the technical concern for the button flipping.
-
Sports Med Arthrosc · Sep 2008
ReviewInterference screw with Cortical button for distal biceps repair.
The management of distal biceps tendon ruptures has been the source of considerable research over the last decade. Many of the techniques used to secure tendon to bone have been applied to the distal biceps tendon. ⋯ The current account describes a technique that repairs the distal biceps with combined interference screw and Cortical button fixation through a single incision, which permits immediate active postoperative motion for early return to activity and a decrease in postoperative stiffness or heterotopic ossification. The presented technique offers the surgeon many new options in treatment of these injuries and emphasizes biologic, anatomic, and biomechanical principles of tendon healing.