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Arthroscopic biceps tenodesis using press-fit bony plug: a case series study.
Ahmed Mahmoud Gad1, Sherif Hamdy Zawam2
1Department of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Giza, Egypt.
International Orthopaedics
|November 4, 2023
Summary
This study found arthroscopic biceps tenodesis using a press-fit bony plug technique to be safe and effective for long head of biceps pathologies, with high success rates and minimal complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Long head of biceps tendon pathologies are common.
- Conservative treatment often fails, necessitating surgical intervention.
- Arthroscopic biceps tenodesis is a viable surgical option.
Purpose of the Study:
- To evaluate the feasibility of arthroscopic biceps tenodesis using a press-fit bony plug.
- To assess operative time, clinical outcomes, and complication rates.
- To determine the failure rate of this specific tenodesis technique.
Main Methods:
- Prospective case series of 30 patients with long head of biceps pathology.
- Patients underwent arthroscopic biceps tenodesis with a press-fit bony plug.
- Minimum 24-month follow-up period.
Main Results:
- High success rate with 29/30 patients achieving full shoulder and elbow range of motion.
- Significant improvements in Constant, ASES, and VAS scores post-operatively.
- Average biceps strength at 96% of the contralateral side; no neurovascular deficits or tenodesis failures.
Conclusions:
- Press-fit biceps tenodesis is a safe and accessible technique.
- The procedure has low economic demands.
- Recommended for treating long head of biceps pathologies.
