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DOS Kongressen 2017 ·
217
1 year results after distal biceps tendon repair with
double incision technique – a prospective cohort
study with 34 consecutive patients
Christian Dippmann, Line Borskov Dahl, Michael Rindom Krogsgaard
M51 section of sportstraumatology, Bispebjerg Hospital; Center for cardio-
vascular surgery, Abdominal Center Rigshospital; M51 section of sportstrau-
matology, Bispebjerg Hospital
Background:
With an incidence of 1-2/100.000 the distal biceps tendon rup-
ture is an often overlooked injury. Surgical approach and the post-operative
treatment is varying depending on the surgeons preference
Purpose / Aim of Study:
The purpose of this prospective case study was to
analyze the outcome after implementation of a standardized treatment regime
Materials and Methods:
From September 2011 to February 2015 41 pa-
tients underwent reinsertion of the distal biceps tendon with a modified Boyd-
Andersen technique. Post-operatively all patient were immobilized in an elbow
cast for 2 weeks, followed by 6 weeks partial mobilization in a hinged brace. Ac-
tive supination/pronation was allowed from day 1, active flexion/extension was
restricted and gradually increased. All patients received pre- operative instruc-
tions by a ergotherapist, followed by 8-12 weeks supervised training. Elbow
function was documented by the Oxford Elbow Score and by measuring active
ROM (AROM). Data was collected prospectively before and 3, 6 and 12 months
after surgery. 7 patients were excluded while 34 patients were included
Findings / Results:
All 34 patients improved significantly (p<0.00) in the Ox-
ford Elbow Score from pre-operatively median 22 to median 42. AROM (flex-
ion/extension) improved significantly from pre-operatively mean 120,3 (SD
35,67) degrees to 145.9 (SD 18,36) degrees after 12 months (p<0,00) while
AROM (supination/pronation) decreased from mean 161,6 (SD 15,89) degrees
pre-operatively to 157,5 (SD 17,33) degrees after 12 months, although not
significantely (p=0.365). Compared to the un-injured side, there was no sig-
nificant difference in flexion/extension (p<0,00), but in supination/pronation
(p=0.009)
Conclusions:
Following our rehabilitation protocol for distal biceps tendon re-
pair all 34 patients in this prospective case series, achieve excellent results in
AROM and ADL
No conflicts of interest reported
169.