Strauch R J, Michelson H, Rosenwasser M P
Department of Orthopaedic Surgery, Columbia Presbyterian Medical Center, New York, New York, USA.
Am J Orthop (Belle Mead NJ). 1997 Feb;26(2):151-6.
Operative repair of distal biceps tendon ruptures is recommended for active individuals desiring maximum return of elbow supination and flexion power and endurance. Traditional two-incision repair methods are highly successful, but they carry the risk of radioulnar synostosis formation if the ulna is exposed. Repair via an anterior incision through bone drill holes requires more dissection and potential risk to the posterior interosseous nerve. The authors present a method of repair of distal biceps tendon ruptures via a single anterior incision using suture anchors. This technique has been used in 3 patients with excellent functional results and is recommended for use as an alternative to the two-incision method.
对于希望最大程度恢复肘部旋后和屈曲力量及耐力的活跃个体，建议对肱二头肌远端肌腱断裂进行手术修复。传统的双切口修复方法非常成功，但如果暴露尺骨，则有形成桡尺骨融合的风险。通过骨钻孔经前切口进行修复需要更多的解剖操作，并且对骨间后神经有潜在风险。作者介绍了一种使用缝线锚钉经单一前切口修复肱二头肌远端肌腱断裂的方法。该技术已应用于3例患者，功能结果良好，建议作为双切口方法的替代方法使用。
