Distal Biceps Reconstruction With an Alternative Technique for Tendon Tensioning and Fixation: A Case Report. Issue 2 (April 2021)

• Record Type: Journal Article
• Authors: Leite, Maria João; Silva, Miguel Relvas; Sousa, António; Vieira, Alberto; Neves, Nuno; Ribeiro da Silva, Manuel
• Is Part Of: JBJS case connector. Volume 11:Issue 2(2021)
• Publication Date: 2021-04
• Subjects: distal biceps -- reconstruction -- pulvertaft -- chronic rupture; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00934
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 41-year-old right-handed male patient presented to our institution with a chronic distal biceps rupture after failed primary surgery 6 months previously. We performed a reconstruction with semitendinosus autograft fixed proximally with a Pulvertaft weave and distally with a cortical button plus interference screw. The patient showed complete pain resolution and excellent functional results. Conclusion: This is the first case described with the use of a cortical button plus interference screw distally for distal biceps reconstruction after chronic distal biceps rupture. The option of doing the Pulvertaft proximally first also allowed us to fine-tune the final graft tension.