Low incidence of tendon rerupture after distal biceps repair by cortical button and interference screw

Background The use of cortical suspensory fixation in conjunction with an interference screw to treat distal biceps ruptures has yielded favorable results. However, literature examining the incidence of fixation failure in a large consecutive series of patients treated with this technique is lacking...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2014-10, Vol.23 (10), p.1532-1536
Main Authors: Cusick, Michael C., MD, Cottrell, Benjamin J., BS, Cain, Richard A., MD, Mighell, Mark A., MD
Format: Article
Language:English
Subjects:
Adult
Aged
Arm
Bone Screws
combined technique
complication rate
cortical button
cortical suspensory fixation
Distal biceps repair
Female
Humans
Incidence
interference screw
Male
Middle Aged
Orthopedics
Recurrence
Retrospective Studies
Rupture
Suture Anchors
Tendon Injuries - surgery
Tenodesis - instrumentation
Young Adult
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Summary:Background The use of cortical suspensory fixation in conjunction with an interference screw to treat distal biceps ruptures has yielded favorable results. However, literature examining the incidence of fixation failure in a large consecutive series of patients treated with this technique is lacking. Methods A retrospective review of electronic medical records identified 170 distal biceps ruptures in 168 consecutive patients (164 men and 4 women) treated using a cortical button in conjunction with an interference screw. The study group was an average age of 48 years (range, 20-71 years). Records were reviewed from the time of the initial clinic visit to the most recent follow-up. Early failures were defined as those that occurred within 12 weeks of the index procedure. Failed repair was defined as tendon defect, deformity, or significant weakness in supination. Results The early incidence of failure was 1.2%, with 2 of the fixations meeting the criteria for failure. One patient had significant brachial artery thrombosis. Other complications included posterior interosseous nerve palsy, lateral antebrachial cutaneous nerve-related complication, and numbness about the radial nerve. Conclusion The use of a cortical suspensory fixation device in conjunction with an interference screw is an effective method of repairing a distal biceps rupture, with a low early rate of failure.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2014.04.013