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Biceps tenotomy versus tenodesis: patient-reported outcomes and satisfaction
Justin O Aflatooni1, Brett D Meeks2, Andrew W Froehle2
1Eastern Virginia Medical School, 700 West Olney Ave, Norfolk, VA, USA. aflatojo@evms.edu.
Journal of Orthopaedic Surgery and Research
|February 20, 2020
Summary
Biceps tenodesis and tenotomy offer high patient satisfaction for proximal biceps tendon issues. Tenodesis showed a trend toward fewer complications and higher satisfaction, particularly in older patients, though both procedures are viable.
Area of Science:
- Orthopedic surgery
- Shoulder surgery
- Biceps tendon pathology
Background:
- Biceps tenotomy and tenodesis are surgical options for proximal long head biceps tendon issues.
- The optimal procedure for patient outcomes remains debated.
Purpose of the Study:
- To compare patient-reported outcomes and satisfaction between biceps tenotomy and tenodesis.
Main Methods:
- Retrospective cohort study of patients undergoing arthroscopic biceps tenotomy or tenodesis.
- Patient-reported outcomes and satisfaction assessed via questionnaire >2 years post-operatively.
- Analysis of procedure, sex, and age effects on satisfaction and biceps-related downsides.
Main Results:
- Similar overall satisfaction between tenotomy and tenodesis (91-96%).
- Fewer downsides reported with tenodesis (37%) compared to tenotomy (59%).
- Older patients reported higher satisfaction and fewer downsides with both procedures.
Conclusions:
- Both biceps tenotomy and tenodesis are effective treatments for proximal biceps tendon pathology.
- Tenodesis demonstrated a trend towards improved satisfaction and fewer complications.
- Most patients would undergo their respective procedure again, regardless of type.
