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. 2019 Sep-Oct;10(5):959-964.
doi: 10.1016/j.jcot.2019.02.006. Epub 2019 Feb 8.

Efficacy of the "Salento technique", a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysis

Giuseppe Rollo  1 , Luigi Meccariello  1 , Roberto Rotini  2 , Paolo Pichierri  1 , Michele Bisaccia  3 , Mattia Fortina  4
Affiliations

Efficacy of the "Salento technique", a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysis

Giuseppe Rollo et al. J Clin Orthop Trauma. 2019 Sep-Oct.

Erratum in

Abstract

Introduction: The biceps brachii lesion needs to be treated surgically. A modified two incisions technique is proposed and reviewed. Material and Methods: All patients were treated with the same technique. The outcomes were measured with the Quick-DASH Score (QDS), and the Mayo Elbow Performance Score (MEPS). Postoperative complications and distal biceps tendon strength were registered also.

Results: At one year from the trauma, the QDS and the MEPS were excellent in all patients. 72.97% fully recovered and returned to work after 6 months from the trauma.

Discussion: This technique, thanks to its preservation of anatomical structures, provides great outcomes.

Keywords: Commercial, or not-for-profit sectors; Double incision; Elbow injury; Heterotopic ossification; Radial tuberosity; Surgical treatment; Tendon rupture; This research did not receive any specific grant from funding agencies in the public.

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Figures

Fig. 1
Fig. 1
Surgical Technique. (A) anterior skin incision with identification of distal biceps tendon and two locking Krakow sutures; (B–C) the second posterior window allows to drill and to prepare the tuberosity; (D) the sutures are pulled out from the first window to the second window using a plastic trocar. Prox: proximal; Dist: distal.
Fig. 2
Fig. 2
Surgical Technique. (A) anterior window, the tendon protected by the plastic trocar; (B–C) posterior window, the sutures are prepared and tightened; (D) anterior window, the tendon tension is checked. Prox: proximal; Dist: distal.
Fig. 3
Fig. 3
Trends of the follow-up of the injured (IS) and not injured (NIS) side, measured by the Quick Dash Score (QDS) and by the Mayo Elbow Performance Score (MEPS). T0 before the trauma; T1 at the time of trauma; T2 at 4 weeks; T3 at 6 weeks; T4 at 8 weeks; T5 at 12 weeks; T6 at 26 weeks; T7 at 52 weeks from the trauma. For both scores, the complete recovery, as before the trauma (p > 0.05), took place at the 26 weeks follow-up (T6).
See this image and copyright information in PMC

References

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