- 作者：A. Montiel-Gimé ; nez ; amontielgimenez@asepeyo.es ; F. Granell-Escobar ; S. Gallardo Villares
- 关键词：Codo ; Tendó ; n del bí ; ceps ; Roturas ; Tratamiento quirú ; rgico ; Anclajes instrumentados
- 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
- 出版年：2009
- 期刊代码：pca311_18884415
- 类别：med
- 出版时间：May-June 2009
- 卷：53
- 期：3
- 页码：198-204
- 文件大小：2047 K
Purpose
To compare the results achieved by one- and two-incision techniques in the reattachment of the distal biceps tendon.
Materials and methods
Review of 59 patients with an acute rupture of the distal biceps brachii tendon diagnosed over a 14-year period (1990鈥?004). All patients were male, of a mean age of 46 years. In most cases the rupture had been brought about by a forceful flexion of the elbow in combination with resisted supination. Fifty-seven patients were subjected to surgery: tendon detachment was found in 50 cases, a fully ruptured tendon at 1鈥? cm of the attachment site in 5 cases and a partial rupture in 2. Henry's anterior approach was used in 36 cases and Boyd and Anderson's combined approach in 21. The use of suture anchors facilitates reattachment. Results were assessed by means of Broberg and Morrey's scale.
Results
The most usual complications were radial nerve lesions, wound dehiscences and complex regional pain syndrome type 1. No significant differences were found between the two approaches in terms of complications. Mean time to work resumption was 21 weeks. None of the cases resulted in occupational disability. The final result was rated as excellent in 54 patients and good in 3.
Conclusion
Surgical treatment affords good results in ruptures of distal biceps brachii, although it is not exempt from complications.