Department of Orthopedics and Traumatology, Policlinic of Modena, University of Modena and Reggio Emilia.
Department of Orthopedics and Traumatology, Policlinic of Modena, University of Modena and Reggio Emilia..
Acta Biomed. 2020 May 30;91(4-S):183-188. doi: 10.23750/abm.v91i4-S.9551.
Several techniques of surgical repair of biceps tendon ruptures are described in literature. Cortical button repair have shown minimal loss of elbow flexion, supination and strength. In this retrospective study we report the outcomes in terms of elbow function and complications of tension-slide technique and interference screw. Matherials and methods: 14 patients with complete distal biceps tendon rupture were included in the retrospective study and treated with the same tension-slide technique (BicepsButton® - Arthrex, Inc, Naples, Florida) evaluating the clinical and functional outcomes and the complication rate with a follow-up average of 18 months.
The flexion recovered compare to the healthy contralateral was 96% (min 115° - max 135°; average 128°), the extension was 97% (min: -2° - max 15°; average 4°), the supination was 90% (min 20° - max 90°; average 75°), the pronation was 95% (min 15° - max 90°; average 76°). The mean Disabilities of Arm, Shoulder and Hand (DASH) score was 8.1 ± 10.5 and Mayo Elbow Performance Score overall (MEPS) score was 97.6 ± 8.2. Two patients had LABCN paresthesia, one case, treated 2 months after injury, had posterior interosseus nerve palsy. One patient had heterotopic ossification at the radiological examination without consequences for the clinical performances. No case of non-traumatic tendon re-rupture and no case of ROM deficiency > 20%. In all case the cortical button remains well positioned and no case of osteolysis were reported.
Distal biceps tendon repair with BicepsButton® system seems to be a safe, relyable and reproducible technique providing excellent clinical, functional and radiological outcomes. Comparing with other techniques the BicepsButton® system has the advantages of the single approach procedures, the reduction of surgical time and risk of heterotopic ossifications. (www.actabiomedica.it).
文献中描述了几种修复肱二头肌肌腱断裂的手术技术。皮质扣修复术显示出最小的肘部屈曲、旋前和力量丧失。在这项回顾性研究中，我们报告了张力滑动技术和干扰螺钉的肘部功能和并发症的结果。
14 例完全性肱二头肌远端肌腱断裂患者纳入回顾性研究，采用相同的张力滑动技术（BicepsButton®-Arthrex，Inc.，佛罗里达州那不勒斯）进行治疗，评估临床和功能结果以及并发症发生率，随访平均 18 个月。
与健侧相比，屈曲恢复率为 96%（最小 115°-最大 135°；平均 128°），伸展恢复率为 97%（最小：-2°-最大 15°；平均 4°），旋前恢复率为 90%（最小 20°-最大 90°；平均 75°），旋后恢复率为 95%（最小 15°-最大 90°；平均 76°）。平均残疾上肢、肩和手（DASH）评分为 8.1±10.5，梅奥肘部功能评分（MEPS）总体评分为 97.6±8.2。2 例患者出现 LABCN 感觉异常，1 例患者在受伤后 2 个月出现正中神经后支麻痹。1 例患者在影像学检查中出现异位骨化，但对临床表现无影响。无非创伤性肌腱再断裂病例，无活动度不足>20%病例。所有病例皮质扣均保持良好位置，无骨质溶解报告。
肱二头肌远端肌腱修复采用 BicepsButton®系统是一种安全、可靠和可重复的技术，提供了极好的临床、功能和影像学结果。与其他技术相比，BicepsButton®系统具有单一入路操作、手术时间和异位骨化风险降低的优势。（www.actabiomedica.it）。
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