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Distal biceps tendon repair using the toggle loc with zip loop.

Michael J DiRaimo1, Mark D Maney, John R Deitch

  • 1Penn State Orthopaedics, The Milton S. Hershey Medical Center, 1850 E Park Ave, Ste 112, University Park, PA 16803, USA.

Orthopedics
|February 20, 2009
PubMed
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The Toggle Loc with Zip Loop offers an easier method for distal biceps tendon repair. This technique allows surgeons to attach the implant away from the wound, simplifying reinsertion and improving repair outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Distal biceps tendon ruptures often require surgical repair.
  • Traditional repair methods can be technically demanding.
  • Need for improved fixation techniques in tendon repair.

Purpose of the Study:

  • Introduce and evaluate the Toggle Loc with Zip Loop fixation technique.
  • Assess the technical advantages for single-incision distal biceps tendon repair.
  • Demonstrate improved ease of reinsertion and tensioning.

Main Methods:

  • Description of the Toggle Loc with Zip Loop fixation technique.
  • Application in single-incision distal biceps tendon repair.
  • Focus on implant placement and tendon tensioning.

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Main Results:

  • The Toggle Loc with Zip Loop simplifies implant attachment to the ruptured tendon.
  • Suture loops (Zip Loop) allow for adjustable shortening.
  • Enables implant seating on the dorsal radius cortex before final fixation.
  • Facilitates technically easier tendon reinsertion with controlled tensioning.

Conclusions:

  • The Toggle Loc with Zip Loop is an advantageous technique for distal biceps tendon repair.
  • Offers improved surgical efficiency and ease of reinsertion.
  • Maintains appropriate elbow flexion and rotation post-repair.