Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2018 Mar 20

PMID 29552484

Citations 1

Authors

Jimmy Tat

Adam Hart

Adam Cota

Khalid Alsheikh

Dominique Behrends

Paul A Martineau

Affiliations

Soon will be listed here.

Abstract

Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the distal biceps tendon, but there has been renewed interest in the single-incision anterior approach given its lower risk for heterotopic ossification. However, current single-incision techniques cannot achieve anatomic reconstruction of the distal biceps because of a restricted operational angle with standard rigid instruments. The purpose of this study was to introduce a single-incision technique using flexible instrumentation, flexible guide pins, and flexible reamers that allows for an insertion point that better approximates the anatomic footprint of the distal biceps on the tuberosity. This offers the theoretical advantage of restoring forearm supination mechanics, while still maintaining the benefits of a single limited anterior exposure.

Citing Articles

Distal Biceps Repair With Flexible Instrumentation and Risk of Posterior Interosseous Nerve Injury: A Cadaveric Analysis.

Tat J, Hart A, Cota A, Alsheikh K, Behrends D, Martineau P Orthop J Sports Med. 2018; 6(11):2325967118810523.

PMID: 30505874 PMC: 6259068. DOI: 10.1177/2325967118810523.

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