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Distal Biceps Reconstruction With an Alternative Technique for Tendon Tensioning and Fixation: A Case Report
Maria João Leite1, Miguel Relvas Silva1, António Sousa1,2
1São João University Hospital, Porto, Portugal.
JBJS Case Connector
|May 11, 2021
Summary
This study details a novel surgical technique for chronic distal biceps rupture using a semitendinosus autograft. The method achieved complete pain relief and excellent function, marking a significant advancement in reconstructive surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Reconstructive Surgery
Background:
- Chronic distal biceps rupture presents a significant challenge, often requiring complex reconstructive procedures.
- Previous surgical attempts may fail, necessitating revision surgery with advanced techniques.
Observation:
- A 41-year-old male with a chronic distal biceps rupture, post-failed primary surgery, underwent a novel reconstruction.
- The procedure involved a semitendinosus autograft with specific fixation methods.
Findings:
- The reconstruction utilized a Pulvertaft weave proximally and a cortical button with an interference screw distally.
- This technique resulted in complete resolution of pain and excellent functional outcomes for the patient.
Implications:
- This case presents a potentially effective new approach for distal biceps reconstruction, particularly in chronic or revision cases.
- The described fixation method offers a viable option for surgeons managing complex distal biceps injuries.
- Further studies are warranted to validate this technique in a larger patient cohort.
