Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Various surgical techniques can be used to repair acute distal biceps tendon (DBT) tears; however, it is unknown which type of repair or implant has the greatest biomechanical strength and presents the lowest risk of type 2 failure.
Purpose: To identify associations between the type of implant or construct used and the biomechanical performance of DBT repairs in a review of human cadaveric studies.
Study Design: Systematic review and meta-regression.
Methods: We systematically searched the EMBASE and Medline (PubMed) databases for biomechanical studies that evaluated DBT repair performance in cadaveric specimens. Two independent reviewers extracted data from 14 studies that met our inclusion criteria. The pooled data set was subjected to meta-regression with adjusted failure load (AFL) as the primary outcome variable. Procedural parameters, such as number of sutures, cortices, locking stitches, and whipstitches, served as covariates. Adjusted analysis was performed to determine the differences among implant types. The alpha level was set at .05.
Results: When using no implant (bone tunnels) as the referent, no fixation type or procedural parameter was significantly better at predicting AFL. Cortical button fixation had the highest AFL (370 N; 95% CI, -2 to 221). In an implant-to-implant comparison, suture anchor alone was significantly weaker than cortical button (154 N; 95% CI, 30 to 279). Constructs using a cortical button and interference screw were not stronger (as measured by AFL) than those using a cortical button alone. The presence of a locking stitch added 113 N (95% CI, 29 to 196) to the AFL. The use of cortical button instead of interference screws or bone tunnels was associated with lower odds of type 2 failure. Avoiding locking stitches and using more sutures in the construct were also associated with lower odds of type 2 failure.
Conclusion: Cortical button fixation is associated with greater construct strength than is suture anchor repair and a lower risk of type 2 failure compared with interference screw fixation or fixation without implants. The addition of an interference screw to cortical button fixation was not associated with increased strength. The presence of a locking stitch added 113 N to the failure load but also increased the odds of type 2 failure.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0363546520986999 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Use of bony landmarks for more accurate tibiofibular syndesmotic fixation: Validity and safety analysis of the angle bisector method.
Foot Ankle Surg
August 2025
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States; Foot and Ankle Division, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton Wellesley Hospital, Harvard Medic
Background And Aims: The Angle Bisector Method uses the cortices of the tibia and fibula as reference points and suggests a syndesmotic fixation trajectory through the bisector of the angle formed by two lines tangent to the anterior and posterior aspects of the tibia and fibula. This study aimed to assess whether the Angle Bisector Method can provide a patient- and level-specific syndesmotic fixation angle that is reproducible, safe, and independent of the surgeon in a cadaveric setting.
Methods: Twelve matched above-knee leg specimens from six cadavers, underwent syndesmotic fixation (using either screws or suture-buttons) at two levels-2 cm and 3.
Transosseous Quadriceps Tendon Repair With Knotless All-Suture Anchors Is Biomechanically Superior to Traditional Transosseous Fixation.
Orthop J Sports Med
August 2025
Department of Research, Arthrex, Inc, Naples, Florida, USA.
Background: Reruptures and functional deficits can occur with conventional transosseous quadriceps tendon repair. Previous work has demonstrated the biomechanical superiority of adjustable transosseous metal cortical button fixation over conventional repair. Knotless all-suture anchor (ASA) buttons may provide a similar improvement but have not yet been investigated.
View Article and Find Full Text PDFRe-Revision ACL Reconstruction: A Double-Bundle Technique Video.
Video J Sports Med
August 2025
Midwest Orthopaedics at RUSH, Chicago, Illinois, USA.
Background: Anterior cruciate ligament (ACL) tears are a prevalent knee injury, often requiring surgery. While single-bundle reconstruction is the most employed technique for revision procedures, the native ACL consists of 2 anatomic bundles, and the double-bundle reconstruction technique aims to more accurately replicate this native anatomy. This video demonstrates a reproducible method for performing ACL reconstruction (ACLR) utilizing the double-bundle technique.
View Article and Find Full Text PDFYounger adult brain utilizes interhemispheric strategy via ipsilateral dorsal premotor cortex for fine control of dexterous finger movements, unlike the aging brain.
Front Aging Neurosci
July 2025
Center for Information and Neural Networks (CiNet), Advanced ICT Research Institute, National Institute of Information and Communications Technology (NICT), Osaka, Japan.
Introduction: This study investigated how healthy, right-handed younger adults utilize the typically suppressed ipsilateral sensorimotor cortices [particularly, the dorsal premotor cortex (PMd), primary motor cortex (M1), primary somatosensory cortex (S1), and superior parietal cortex of Area 2] to perform a dexterous finger motor task and its age-related changes.
Methods: Functional magnetic resonance imaging was used to measure brain activity in healthy, right-handed younger and older adults during a simple button-press task with the right index finger and a dexterous stick-rotation task involving fine control and coordination of individual right finger movements. The individual performance capacity in stick rotation (the personal trait of finger dexterity) was assessed outside the scanner.
Successful Primary Repair of a Traumatic Distal Biceps Tendon Rupture With the Arthrex Biceps Button System and Platelet-Rich Plasma Therapy: A Case Report and Surgical Outcome.
Cureus
July 2025
Health Informatics, Rutgers University, Newark, USA.
Traumatic rupture of the distal biceps tendon is a relatively rare injury often requiring surgical reconstruction. The typical surgical repair for a traumatic distal biceps tendon rupture is a single anterior incision with cortical button fixation, followed by early mobilization, with most patients returning to full activity or sport at approximately six months postoperatively. We present a case of a 48-year-old male patient who experienced a traumatic distal biceps rupture following a water skiing accident.
View Article and Find Full Text PDF