A combined technique for distal biceps repair using a soft tissue button and biotenodesis interference screw.
BACKGROUND
There are many techniques described to repair acute distal biceps tendon ruptures. The authors' objective is to report the results of a single-incision technique using a combination of a soft tissue button and biotenodesis interference screw with accelerated rehabilitation.


OBJECTIVE
Dual fixation of a distal biceps rupture will allow for early return to function.


METHODS
Case series; Level of evidence, 4.


METHODS
From February 2004 to July 2007, 41 elbows in 40 patients had repair of an acute distal biceps tendon rupture (<6 weeks) through an anterior incision using a soft tissue button and interference screw combined technique. The patients were evaluated pre- and postoperatively with a physical examination, radiographs, and the Andrews-Carson elbow score. Nine patients were unavailable for follow-up. The remaining 31 patients (32 elbows) were contacted for a telephone interview at an average of 24 months postoperatively.


RESULTS
The preoperative Andrews-Carson score averaged 168 and the postoperative Andrews-Carson score averaged 196 points at final clinical follow-up. There was a statistically significant difference between the pre- and postoperative Andrews-Carson scores (P < .001). One patient had heterotopic ossification associated with decreased pronation and supination. Two superficial radial nerve palsies completely resolved by final follow-up. The average postoperative time to resume normal activities or return to work was 6.5 weeks.


CONCLUSIONS
Repair of acute distal biceps tendon ruptures using a soft tissue button and interference screw technique through a limited anterior incision can allow for accelerated rehabilitation and early return to function.
Mississippi Sports Medicine and Orthopaedic Center, 1325 E Fortification St, Jackson, MS 39202, USA. houseofheinz@gmail.com
Andrew D
AD
Heinzelmann
Felix H
FH
Savoie
J Randall
JR
Ramsey
Larry D
LD
Field
Augustus D
AD
Mazzocca
D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D053441:Suture Anchors; D013708:Tendon Injuries / Q000601:surgery*; D053656:Tenodesis / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D000092464:Elbow Injuries