Mini-open 2-incision technique for repair of distal biceps tendon ruptures.
The purpose of this study was to review a series of distal biceps tendon ruptures treated with a 2-incision mini-open repair. The procedure is performed through a transverse incision in the antecubital fossa of 2 cm or less and a 3-cm posterior incision. It requires minimal soft-tissue dissection and uses a combined incision length that is typically less than a single anterior incision. The described technique was used to repair distal biceps tendon ruptures in 33 men. Patients were started on an immediate active range-of-motion protocol. Subjective and objective data were obtained on follow-up examination. All patients were satisfied with the surgical outcome. Heterotopic ossification developed in 1 patient, which was functionally insignificant. This technique is an effective method of repair of distal biceps tendon rupture that can be performed safely, with minimal surgical dissection, and appealing cosmesis.
Hartman
Michael W
MW
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Merten
Sheri M
SM
Steinmann
Scott P
SP
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D018482:Muscle, Skeletal; D019637:Orthopedic Procedures / Q000379:methods; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D000092464:Elbow Injuries