title: A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report.
abstract: BACKGROUND
  Various surgical techniques for treating distal biceps brachii tendon injury have been described, and to date there is no consensus regarding the preferred fixation method for the anatomic reinsertion of the ruptured tendon.
  
  
  OBJECTIVE
  The aim of the study was to clinically and functionally evaluate the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon using an ACL TightRope® RT with a titanium cortical button and ultra high molecular weight polyethylene (UHMWPE) suture, and to assess postoperative complications.
  
  
  METHODS
  The sample comprised 3 patients. Clinical examination (history, measurements of the active range of forearm motion, arm circumference, the maximum isometric forearm supination and flexion muscle torque), pain evaluation (on a visual analogue scale [VAS]) and functional assessment (the Mayo Elbow Performance Index [MEPI] and Quick Disabilities of the Arm, Shoulder and Hand [DASH]) were carried out. Complications were documented.
  
  
  RESULTS
  The results of the range of motion measurements, arm circumferences and normalized isometric torque values of the muscle groups being studied were comparable in the involved and uninvolved limbs. The MEPI (x = 95.00 ± 10.42) and Quick DASH (x = 8.66 ± 18.04) scores revealed very good results. The VAS results were close to no pain (x = 3.33 ± 5.77 mm). No complications were noted.
  
  
  CONCLUSIONS
  The preliminary comprehensive clinical and functional assessment of the upper limb justify the clinical use of the ACL TightRope® RT with a titanium cortical button and UHMWPE suture in surgical anatomic reinsertion of the distal biceps brachii tendon. The early results with a small sample were encouraging, but studies with a larger number of cases and longer follow-up are needed.
authors.affiliation: Department of Traumatology, Clinic of Traumatology and Hand Surgery, Wroclaw University Clinical Hospital, Wroclaw, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Witkowski
authors.affiliation: eMKaMED Medical Centre, Wroclaw, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Kentel
authors.affiliation: The College of Physiotherapy, Wrocław, Poland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Królikowska
authors.affiliation: Department of Traumatology, Clinic of Traumatology and Hand Surgery, Wroclaw University Clinical Hospital, Wroclaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Reichert
mesh_terms: D000328:Adult; D004550:Elbow / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D010147:Pain Measurement; D010865:Pilot Projects; D011095:Polyethylenes; D019736:Prostheses and Implants; D016059:Range of Motion, Articular; D012086:Reoperation; D012189:Retrospective Studies; D013537:Sutures; D013708:Tendon Injuries / Q000503:physiopathology / Q000601:surgery*; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D011095:Polyethylenes; C111601:ultra-high molecular weight polyethylene; D014025:Titanium
keywords: UHMWPE; fixation method; flexion; muscle torque; supination