Distal biceps tendon repair: outcome and complications with single incision anchor fixation.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2024-10-01 Epub Date: 2024-08-23 DOI:10.1007/s00264-024-06279-1

Markus Jaschke, Krzysztof Rękawek, Sebastian Sokołowski, Hanna Wawrzyniak, Łukasz Kołodziej

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引用次数: 0

Abstract

Purpose: The purpose of this study is to evaluate the functional outcome and quality of life in distal biceps tendon repair with single incision technique and anchor fixation method.

Methods: A retrospective cohort study was made of patients with complete distal biceps tendon rupture. The chosen repair method was single incision technique with anchor fixation. The outcome was assessed with functional testing of the elbow with strength and ROM. Additionally Mayo elbow performance index, Oxford elbow score, Disability arm hand shoulder questionnaire and patient rated elbow evaluation scores were used to evaluate quality of life.

Results: Of the 28 patients, the average strength in flexion and supination was decreased with 91% and 89% of the strength compared to the non-injured arm. ROM was preserved in flexion, extension, supination and pronation. The mean scores for quality of life evaluation were MEPS = 96 ± 7.8, OES = 46.8 ± 1.9, DASH = 1.0 ± 1.9 and PREE = 2.0 ± 3.6. LABCN injury was the most common temporary complication with 30% followed by pain with 23%. Two patients were identified with HO and 1 patient was identified with median nerve injury. There were no cases of radioulnar synostosis and PIN injury.

Conclusion: Overall strength in flexion and supination were slightly decreased with preserved ROM. Patients reported nearly perfect quality of life as demonstrated with the scores. The complications rate was high with mainly minor complications. Distal biceps tendon repair with single incision technique and anchor fixation overall leads to a very satisfying outcome.

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肱二头肌远端肌腱修复术：单切口锚固定术的效果和并发症。

目的：本研究旨在评估采用单切口技术和锚定固定法进行肱二头肌远端肌腱修复术的功能效果和生活质量：方法：对肱二头肌远端肌腱完全断裂患者进行回顾性队列研究。选择的修复方法是单切口技术和锚固定法。研究结果通过肘部力量和活动度功能测试进行评估。此外，还采用了梅奥肘关节性能指数、牛津肘关节评分、手臂手肩残疾问卷和患者肘关节评分来评估生活质量：在28名患者中，与未受伤的手臂相比，屈曲和上举的平均力量分别下降了91%和89%。屈曲、伸展、上举和前屈的活动度均保持不变。生活质量评估的平均得分为 MEPS = 96 ± 7.8、OES = 46.8 ± 1.9、DASH = 1.0 ± 1.9 和 PREE = 2.0 ± 3.6。LABCN损伤是最常见的临时并发症，占30%，其次是疼痛，占23%。两名患者被确诊为HO，一名患者被确诊为正中神经损伤。没有发生桡侧膝关节突和PIN损伤的病例：结论：患者屈伸和上举的总体力量略有下降，但活动度得以保留。患者的生活质量评分接近完美。并发症发生率较高，主要为轻微并发症。肱二头肌远端肌腱修复术采用单切口技术和锚固定，总体效果令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.