Jarrett Paul, Baker Anna-Lisa
Murdoch Orthopaedic Clinic, Murdoch, Australia.
Hands & All, Murdoch, Australia.
Clin Shoulder Elb. 2023 Sep;26(3):222-230. doi: 10.5397/cise.2023.00227. Epub 2023 Sep 1.
Distal biceps tendon repairs are commonly performed using open techniques. A minimally invasive distal biceps tendon repair technique using a speculum and hooded endoscope was developed to improve visualization, reduce soft-tissue dissection, and minimize complications. This paper describes the technique and reports the outcomes of 75 minimally invasive distal biceps tendon repairs.
The operation reports and outcomes of 75 patients who underwent distal biceps tendon repair using this technique between 2011 and 2021 were retrospectively reviewed.
Median time to follow-up was 12 months (interquartile range [IQR], 6-56 months). Primary outcomes were function as measured by the Disabilities of Arm, Shoulder and Hand Score (DASH) questionnaire, and rate of complications. Median DASH score was 1.7 of 100 (IQR, 0-6.8). There were 2 of 75 (2.7%) re-ruptures of the distal tendon. There were no cases of vascular injury, proximal radius fracture, or posterior interosseous nerve, median, or ulnar nerve palsy.
In this series, minimally invasive distal biceps repair was safe and effective with a low rate of major complications. Recovery of function, as indicated by low DASH scores, was satisfactory, and inconvenience during recovery was minimized. Level of evidence: IV.
肱二头肌远端肌腱修复通常采用开放技术进行。为了改善视野、减少软组织分离并将并发症降至最低，开发了一种使用窥器和带帽内窥镜的微创肱二头肌远端肌腱修复技术。本文描述了该技术，并报告了75例微创肱二头肌远端肌腱修复的结果。
回顾性分析了2011年至2021年间75例行该技术肱二头肌远端肌腱修复患者的手术报告和结果。
中位随访时间为12个月（四分位间距[IQR]，6 - 56个月）。主要结局指标为采用手臂、肩部和手部功能障碍评分（DASH）问卷测量的功能以及并发症发生率。DASH评分中位数为100分中的1.7分（IQR，0 - 6.8）。75例中有2例（2.7%）发生远端肌腱再次断裂。无血管损伤、桡骨近端骨折或骨间后神经、正中神经或尺神经麻痹病例。
在本系列研究中，微创肱二头肌远端修复安全有效，主要并发症发生率低。低DASH评分表明功能恢复良好，且恢复期间的不便降至最低。证据级别：IV级。
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