Document Detail


Is it safe to perform aggressive rehabilitation after distal biceps tendon repair using the modified 2-incision approach? A biomechanical study.
MedLine Citation:
PMID:  17702997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite improved methods of fixation, there is still a delay in early active motion after distal biceps repair. HYPOTHESIS: Distal biceps repairs using the modified 2-incision technique can be treated with early motion, and there is no difference in the cyclic performance of Ethibond and Fiberwire when used for the repair. STUDY DESIGN: Controlled laboratory study. METHODS: Nine matched pairs of cadaveric elbows had release of the distal biceps followed by repair with either No. 5 Ethibond or Fiberwire through a bone tunnel. The repairs were cyclically loaded for 3000 cycles (1000 cycles from 10-50 N, 1000 cycles from 10-75 N, 1000 cycles from 10-100 N) followed by single-load displacement to failure in surviving specimens. RESULTS: There was no difference in the displacement or stiffness between surviving repairs at any point measured. Ethibond repairs survived significantly more cycles than did Fiberwire repairs, particularly at higher loads. CONCLUSION: Distal biceps repair using the 2-incision technique with Ethibond should allow early active motion, but early active motion may not be possible with Fiberwire.
Authors:
Leslie J Bisson; Jennifer Gurske de Perio; Alexander E Weber; Mark T Ehrensberger; Cathy Buyea
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2007-08-16
Journal Detail:
Title:  The American journal of sports medicine     Volume:  35     ISSN:  1552-3365     ISO Abbreviation:  Am J Sports Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-30     Completed Date:  2008-01-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2045-50     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of Buffalo, Buffalo, New York, USA. klbisson@aol.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty / instrumentation*,  methods
Biomechanics
Elbow Joint / physiology,  surgery*
Female
Humans
Male
Middle Aged
Polyethylene Terephthalates / therapeutic use
Suture Techniques
Sutures*
Tendon Injuries / rehabilitation*,  surgery*
Chemical
Reg. No./Substance:
0/Ethibond; 0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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