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Arthroscopic biceps tenodesis: a new technique using bioabsorbable interference screw fixation.

Pascal Boileau1, Sumant G Krishnan, Jean-Sebastien Coste

  • 1Orthopaedic Department, Hô pital de L'Archet, University of Nice, Nice, France. boileau.p@chu-nice.fr

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|November 12, 2002
PubMed
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This study introduces arthroscopic biceps tenodesis with bioabsorbable screw fixation, showing improved patient outcomes. The technique is effective for biceps tendon issues and rotator cuff tears, with fragility being a limitation.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Shoulder arthroscopy

Background:

  • Biceps tenodesis is a common procedure for shoulder pain.
  • Arthroscopic techniques offer minimally invasive solutions.
  • Bioabsorbable fixation provides an alternative to traditional methods.

Purpose of the Study:

  • To present a novel arthroscopic biceps tenodesis technique.
  • To evaluate early clinical outcomes using bioabsorbable interference screw fixation.
  • To assess the applicability of this technique in various shoulder pathologies.

Main Methods:

  • Prospective, nonrandomized study of 43 patients.
  • Arthroscopic biceps tenodesis with bioabsorbable screw fixation.
  • Follow-up for at least 1 year, assessing clinical scores and range of motion.

Related Experiment Videos

Main Results:

  • Significant improvement in the Constant score (43 to 79, P <.005).
  • No loss of elbow movement; biceps strength at 90% of the contralateral side.
  • Two cases of tenodesis rupture due to friable tendon and insufficient screw diameter (7mm).

Conclusions:

  • Arthroscopic biceps tenodesis with bioabsorbable screw fixation is feasible and yields good results.
  • Applicable for isolated biceps pathology or in conjunction with rotator cuff repair.
  • Extremely fragile or near-ruptured biceps tendons represent a technical limitation.