Interference screw failure in distal biceps endobutton repair: case report.
Endobutton (Arthrex, Naples, FL) fixation of distal biceps rupture with interference screw fixation provides for a secure repair, allowing for early motion. We present a case in which Endobutton fixation failed with a loose interference screw, rendering the distal biceps attachment incompetent. Revision surgery with an extensile approach, mobilization of the biceps, and repeat Endobutton fixation at a more distal site provided a secure fixation with an excellent clinical outcome. An understanding of the mechanism of failure might allow surgeons to perform this procedure with a lower incidence of complications.
Naidu
Sanjiv H
SH
Pinnacle Health Hand Center, Mechanicsburg, PA 17050, USA. snaidu3555@comcast.net
D000328:Adult; D001863:Bone Screws; D004551:Elbow Joint / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D053656:Tenodesis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D000092464:Elbow Injuries