Distal biceps tendon repair: an analysis of timing of surgery on outcomes.
CONTEXT: Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. OBJECTIVE: To compare our outcomes after distal biceps tendon acute (at 4 weeks or less) or chronic (greater than 4 weeks) repair. DESIGN: Cohort study. SETTING: Clinical practice. PATIENTS OR OTHER PARTICIPANTS: Of 18 patients in a tertiary practice who underwent distal biceps repair, 12 and 6 underwent acute or chronic repair, respectively. The average durations from injury to surgery were 15.3 (range, 9 to 25) and 50.1 (range, 29 to 75) days for the acute and chronic groups, respectively. INTERVENTION(S): Distal biceps tendon repair. MAIN OUTCOME MEASURE(S): Disabilities of the Arm, Shoulder and Hand (DASH) scoring, range of motion, and clinical and radiographic complications. RESULTS: No differences were noted between the groups in DASH scoring or range of motion. No complications occurred, and radiographic outcomes were satisfactory, without evidence of heterotopic ossification in any patients. CONCLUSIONS: Secure repair of a distal biceps tendon injury may yield similar results, whether it is performed in the acute or chronic setting.
Anakwenze, OA; Baldwin, K; Abboud, JA
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