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Related Experiment Video

Updated: Oct 9, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
04:01

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair

Published on: August 8, 2025

94

Single Incision Modified Tension Slide Technique in Distal Biceps Repair: Improved Load to Failure While Reducing

Michael J Fitzgerald1, James R Mullen2, Mikael J Starecki3

  • 1Department of Orthopaedic Surgery, Northwell/Northshore University Hospital-Long Island Jewish Medical Center, Manhasset.

Techniques in Hand & Upper Extremity Surgery
|December 19, 2021
PubMed
Summary

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The modified tension slide technique (MTST) for distal biceps tendon repair offers a biomechanically superior and simpler surgical option. It demonstrates a two-fold increase in load to failure compared to the traditional tension slide technique (TST).

Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering
  • Sports Medicine

Background:

  • Distal biceps tendon repair is a common orthopedic procedure.
  • The tension slide technique (TST) using a cortical button is a standard method, but can be technically demanding.
  • Observed gap formation is a key metric for repair strength in distal biceps tendon injuries.

Purpose of the Study:

  • To introduce and biomechanically compare the modified tension slide technique (MTST) against the TST.
  • To evaluate gap formation and load to failure for both MTST and TST in distal biceps tendon repairs.
  • To assess the surgical simplicity and effectiveness of the MTST.

Main Methods:

  • A biomechanical study using 24 matched bovine extensor tendons.
  • Maximal load to failure testing was performed using an Instron 5566 machine.

Related Experiment Videos

Last Updated: Oct 9, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
04:01

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair

Published on: August 8, 2025

94
  • Cyclical load to failure testing was conducted to assess gap formation under repeated stress.

    • Main Results:

    • The MTST exhibited a mean maximal load to failure of 444 N, significantly higher than the TST's 229 N (P <0.004).
    • No gap formation was observed in either group after cyclic load testing, indicating robust repair in both.
    • The MTST demonstrated a statistically significant two-fold increase in load to gap formation compared to the TST.

    Conclusions:

    • The MTST provides a biomechanically superior repair for distal biceps tendons, with significantly higher load to failure.
    • The technique simplifies the surgical procedure by eliminating the 'operating in a hole' effect.
    • MTST represents a promising advancement in distal biceps tendon repair, offering enhanced strength and ease of use.