John Chris K, Field Larry D, Weiss Kenneth S, Savoie Felix H
Roanoke Orthopaedic Center, Roanoke, VA, USA.
J Shoulder Elbow Surg. 2007 Jan-Feb;16(1):78-83. doi: 10.1016/j.jse.2006.03.002. Epub 2006 Sep 11.
The purpose of this study is to report the results of a single limited-incision technique for repair of acute distal biceps ruptures by use of suture anchors. Sixty consecutive patients underwent distal biceps repair after an acute rupture between January 1997 and January 2001 by use of a limited antecubital incision and suture anchors. Fifty-three patients could be evaluated at a mean follow-up of 38.1 months. A limited transverse incision was made in the antecubital fossa. The retracted biceps tendon end was identified, retrieved, and lightly debrided. Two suture anchors were placed in the radial tuberosity, and the tendon was reapproximated. Final follow-up consisted of physical examination, radiographs, and Andrews-Carson elbow score tabulations. According to the Andrews-Carson scores, there were 46 excellent and 7 good results. In 2 patients, heterotopic ossification developed that resulted in a mild loss of forearm rotation and mild pain. In 1 patient, a temporary radial nerve palsy developed, which resolved completely within 8 weeks. Repair of acute distal biceps tears via a limited antecubital incision and suture anchors is a safe, effective technique.
本研究的目的是报告采用缝线锚钉通过单一有限切口技术修复急性肱二头肌远端断裂的结果。1997年1月至2001年1月期间，连续60例患者在急性断裂后采用有限的肘前切口和缝线锚钉进行肱二头肌远端修复。53例患者可进行评估，平均随访38.1个月。在肘前窝做一个有限的横向切口。识别、找回回缩的肱二头肌腱端并进行轻度清创。在桡骨粗隆置入两枚缝线锚钉，然后将肌腱重新对合。最终随访包括体格检查、X线片和安德鲁斯 - 卡森肘关节评分表。根据安德鲁斯 - 卡森评分，结果为46例优秀和7例良好。2例患者发生异位骨化，导致前臂旋转轻度受限和轻度疼痛。1例患者出现暂时性桡神经麻痹，在8周内完全恢复。通过有限的肘前切口和缝线锚钉修复急性肱二头肌远端撕裂是一种安全、有效的技术。
