title: [Surgical treatment of distal biceps tendon ruptures with bone anchors using a single anterior approach].
abstract: OBJECTIVE
  To evaluate the clinical results of reinsertion of the distal biceps tendon with anterior bone anchors.
  
  
  METHODS
  A retrospective study was conducted on 79 patients who underwent reinsertion of the distal biceps tendon with anterior bone anchors. The mean age was 46 years (range, 32-64). Two anchors were used in 57% of cases, and one anchor in 43%. The same postoperative protocol was performed in all patients. Functional assessment was made using a Motor evoked potentials (MEPS) functional scale. The mean of follow-up time was 20 months (range, 12 -28 months).
  
  
  RESULTS
  The final mean of MEPS score was 95.2 points (SD 6.8). Almost all (94%) patients had excellent and good results, and 6% a bad result. No differences were observed when comparing functional outcome among patients in whom one anchor was used (96 points) with those in whom two anchors were used (95 points), p=0.5. The mean time off work was 14 weeks (range, 5-56) and 100% of patients were able to return to work. The incidence of complications was 13%. The most frequent was neuropraxia of the lateral antebrachial cutaneous nerve.
  
  
  CONCLUSIONS
  The anatomic re-attachment of the distal biceps tendon with bone anchors using a single anterior approach is a safe technique that offers excellent and good functional results in the medium term.
authors.affiliation: Hospital ASEPEYO, Barcelona, España. Electronic address: roramazzini@icloud.com.
authors.forename: R
authors.initials: R
authors.lastname: Ramazzini-Castro
authors.affiliation: Hospital ASEPEYO, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Montiel-Gimenez
authors.affiliation: Hospital ASEPEYO, Barcelona, España.
authors.forename: S
authors.initials: S
authors.lastname: Gallardo-Villares
authors.affiliation: Hospital ASEPEYO, Barcelona, España.
authors.forename: C
authors.initials: C
authors.lastname: Abellán-Miralles
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D012189:Retrospective Studies; D053441:Suture Anchors; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome
keywords: Abordaje anterior único; Anclajes óseos; Anterior approach; Bone anchors; Distal biceps brachii tendon; Tendón distal del bíceps braquial