ÖZET

Amaç:

Bu çalışmanın amacı, distal biseps brakii tendon rüptürünün tedavisinde tek ve çift insizyon tamir tekniklerinin komplikasyonlarını ve fonksiyonel sonuçlarını karşılaştırmaktı.

Yöntemler:

Bu retrospektif çalışmaya 2012-2018 yılları arasında distal biseps brachii tendon rüptürü olan ve tek veya çift insizyon tamir tekniği ile tedavi edilen hastalar dahil edildi. Hareket açıklığı (HA) ve Mayo dirsek performans skorları (MEPS) değerlendirildi.

Bulgular:

Çalışmaya tek (n=9) ve çift (n=8) insizyon tekniği uygulanan, yaş ortalaması 45,6±6,4 yıl (dağılım: 34-58 yıl) olan 17 hasta dahil edildi. Ortalama takip süresi 33±10,5 aydı (dağılım: 24-62 ay). Preoperatif ve postoperatif HA ve MEPS iki grup arasında benzerdi (p>0,05). Tek insizyon tamir tekniği grubunda 3 hastada lateral antebrakial kutanöz sinir (LACN) felci görüldü, 1 hasta ise tekrar rüptür nedeniyle tekrar ameliyat edildi. Çift insizyon tamir tekniği grubunda 1 hastada posterior interosseöz sinir (PIN) felci ve 1 hastada cerrahi drenaj gerektirmeyen hematom gelişti. Komplikasyonlar açısından anlamlı farklılık tespit edilmedi (p=0,62).

Sonuç:

Distal biseps brachii tendon rüptürünün tedavisinde hem tek hem de çift insizyon tekniklerinden sonra iyi fonksiyonel sonuçlar elde edilmektedir. Her iki teknik güvenilirdir, ancak tek insizyon tekniğinde LACN, çift insizyon tekniğinde ise PİN risk altındadır.

References

Baker BE, Bierwagen D. Rupture of the distal tendon of the biceps brachii. Operative versus non-operative treatment. J Bone Joint Surg Am 1985;67:414-7.

Safran MR, Graham SM. Distal biceps tendon ruptures: incidence, demographics, and the effect of smoking. Clin Orthop Relat Res 2002:275-83.

Morrey ME, Abdel MP, Sanchez-Sotelo J, Morrey BF. Primary repair of retracted distal biceps tendon ruptures in extreme flexion. J Shoulder Elbow Surg 2014;23:679-85.

Morrey BF. Distal biceps tendon rupture. In: The elbow and its disorders. 3rd edition. Philadelphia: WB Saunders Co 2000. p.468-78.

Nesterenko S, Domire ZJ, Morrey BF, Sanchez-Sotelo J. Elbow strength and endurance in patients with a ruptured distal biceps tendon. J Shoulder Elbow Surg 2010;19:184-9.

Rios CG, Mazzocca AD. Interference screw with Cortical button for distal biceps repair. Sports Med Arthrosc Rev 2008;16:136-42.

Boyd H, Andersan L. A method for reinsertion of the distal biceps brachii tendon. The Journal of bone & joint surgery 1961;43:1041-3.

O’Driscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med 2007;35:1865-9.

Hasan SA, Cordell CL, Rauls RB, Bailey MS, Sahu D, Suva LJ. Two-incision versus one-incision repair for distal biceps tendon rupture: a cadaveric study. J Shoulder Elbow Surg 2012;21:935-41.

Forthman CL, Zimmerman RM, Sullivan MJ, Gabel GT. Cross-sectional anatomy of the bicipital tuberosity and biceps brachii tendon insertion: relevance to anatomic tendon repair. J Shoulder Elbow Surg 2008;17:522-6.

Grewal R, Athwal GS, MacDermid JC, Faber KJ, Drosdowech DS, El-Hawary R, et al. Single versus double-incision technique for the repair of acute distal biceps tendon ruptures: a randomized clinical trial. J Bone Joint Surg Am 2012;94:1166-74.

Castioni D, Mercurio M, Fanelli D, Cosentino O, Gasparini G, Galasso O. Single- versus double-incision technique for the treatment of distal biceps tendon rupture. Bone Joint J 2020;102-B:1608-17.

Mazzocca AD, Burton KJ, Romeo AA, Santangelo S, Adams DA, Arciero RA. Biomechanical evaluation of 4 techniques of distal biceps brachii tendon repair. Am J Sports Med 2007;35:252-8.

Amin NH, Volpi A, Lynch TS, Patel RM, Cerynik DL, Schickendantz MS, et al. Complications of Distal Biceps Tendon Repair: A Meta-analysis of Single-Incision Versus Double-Incision Surgical Technique. Orthop J Sports Med 2016;4:2325967116668137.

Amarasooriya M, Bain GI, Roper T, Bryant K, Iqbal K, Phadnis J. Complications After Distal Biceps Tendon Repair: A Systematic Review. Am J Sports Med 2020;48:3103-11.

Luthringer TA, Bloom DA, Klein DS, Baron SL, Alaia EF, Burke CJ, et al. Distance of the Posterior Interosseous Nerve From the Bicipital (Radial) Tuberosity at Varying Positions of Forearm Rotation: A Magnetic Resonance Imaging Study With Clinical Implications. Am J Sports Med 2021;49:1152-9.

Dunphy TR, Hudson J, Batech M, Acevedo DC, Mirzayan R. Surgical Treatment of Distal Biceps Tendon Ruptures: An Analysis of Complications in 784 Surgical Repairs. Am J Sports Med 2017;45:3020-9.

Miyamoto RG, Elser F, Millett PJ. Distal biceps tendon injuries. J Bone Joint Surg Am 2010;92:2128-38.

Camp CL, Voleti PB, Corpus KT, Dines JS. Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button. Arthrosc Tech 2016;5:e303-7.

Garon MT, Greenberg JA. Complications of Distal Biceps Repair. Orthop Clin North Am 2016;47:435-44.

Cain RA, Nydick JA, Stein MI, Williams BD, Polikandriotis JA, Hess AV. Complications following distal biceps repair. J Hand Surg Am 2012;37:2112-7.

Barret H, Winter M, Gastaud O, Saliken DJ, Gauci MO, Bronsard N. Double incision repair technique with immediate mobilization for acute distal biceps tendon ruptures provides good results after 2 years in active patients. Orthop Traumatol Surg Res 2019;105:323-8.

McKee MD, Hirji R, Schemitsch EH, Wild LM, Waddell JP. Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique. J Shoulder Elbow Surg 2005;14:302-6.

Peeters T, Ching-Soon NG, Jansen N, Sneyers C, Declercq G, Verstreken F. Functional outcome after repair of distal biceps tendon ruptures using the endobutton technique. J Shoulder Elbow Surg 2009;18:283-7.

Legg AJ, Stevens R, Oakes NO, Shahane SA. A comparison of nonoperative vs. Endobutton repair of distal biceps ruptures. J Shoulder Elbow Surg 2016;25:341-8.

Grant JA, Bissell B, Hake ME, Miller BS, Hughes RE, Carpenter JE. Relationship between implant use, operative time, and costs associated with distal biceps tendon reattachment. Orthopedics 2012;35:e1618-24.

Distal Biseps Tendon Rüptüründe Tek İnsizyon ile Çift İnsizyon Tamir Tekniklerinin Karşılaştırılması

ÖZET

References