Research Article
Volume 12 Issue 1 - 2021
Distal Bicep Brachii Rupture Repair: Relevance of Secondary Fixation with Interference Screws in Endobutton Technique
Funbi Anthony Ayeni*, Syed S Mannan, Tosin Akinyemi, Aasiya S Mannan and Afolabi Awodiya
Trauma and Orthopaedic, North Cumbria University Hospital, United Kingdom
*Corresponding Author: Funbi Anthony Ayeni, Trauma and Orthopaedic, North Cumbria University Hospital, United Kingdom.
Received: November 13, 2020; Published: December 31, 2020


Background: Anatomic repair is the standard of care of distal bicep brachii tendon rupture. Endobutton fixation have demonstrable superior load to failure compared to other fixation options and in order to achieve anatomic repair, some investigators have added secondary fixation using interference screws. We questioned the relevance of this secondary fixation and we sought to evaluate the difference in the functional outcome of patients who had distal bicep brachii tendon rupture repair with endobutton with interference screws and those without interference screws.

Method: A retrospective study of 48 patient who underwent distal bicep brachii tendon repair looking at biodata of patient, duration between the injury and repair, the type of fixation technique, complications and the quick dash score.

We included all patient who had distal bicep tendon rupture repair with either endobutton alone or endobutton with interference screw and the following were excluded from the study ; patients who had double incision techniques, repair of chronic rupture that require a graft, background ipsilateral upper limb injury or neurologic deficit.

All obtained data were analysed using the Statistical Package for Social Sciences (SPSS) version 22 (IBM SPSS Incorporated, Chicago, Illinois) and obtained values expressed in percentages.

Result: All patients were male with mean age of 43.72 ± 9.12 years and average duration to surgery from the time of injury was 22.47 ± 54.78 days. There was no significant statistical difference between the treatment groups with respect to the quick dash score, complications.

Injury to the lateral antebrachial nerve was the commonest complication and there was no re-rupture in both treatment groups.

Conclusion: Both treatment are effective in the management of distal bicep brachii tendon rupture and addition of an interference screws was not advantageous rather would have increased the cost and duration of the surgery.

Keyword: Endobutton; Interference Screws; Bicep Brachii; Quick Dash Score


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Citation: Funbi Anthony Ayeni., et al. “Distal Bicep Brachii Rupture Repair: Relevance of Secondary Fixation with Interference Screws in Endobutton Technique”.EC Orthopaedics 12.1 (2021): 80-84.

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