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Novel implant-free loop Tenodesis vs. simple Tenotomy of the long biceps tendon - a biomechanical investigation
Kerschbaum, Maximilian
, Voss, Andreas, Pfeifer, Christian G.
, Weiss, Isabella, Mayr, Agnes, Alt, Volker, Greiner, Stefan and Grechenig, Stephan
(2019)
Novel implant-free loop Tenodesis vs. simple Tenotomy of the long biceps tendon - a biomechanical investigation.
BMC Musculoskeletal Disorders 20 (1), pp. 1-6.
Date of publication of this fulltext: 22 Jan 2021 15:00
Article
DOI to cite this document: 10.5283/epub.44214
Abstract
Background Simple tenotomy and anchor tenodesis are commonly used in treatment of long biceps tendon (LHB) pathologies. The tenotomy can result in biceps distalization or cosmetic deformities. A novel loop Tenodesis Technique (LTD) could prevent a distalization of the biceps muscle without the risk of implant associated complications. The purpose of this study was to investigate the biomechanical ...
Background Simple tenotomy and anchor tenodesis are commonly used in treatment of long biceps tendon (LHB) pathologies. The tenotomy can result in biceps distalization or cosmetic deformities. A novel loop Tenodesis Technique (LTD) could prevent a distalization of the biceps muscle without the risk of implant associated complications. The purpose of this study was to investigate the biomechanical aspects of the novel LTD compared to a standard tenotomy of the LHB. It has been hypothesized that the novel technique will show biomechanical superiority in terms of resistance and distalization. Methods Seven paired adult human cadaveric shoulder joints were assigned to one of the two study groups: Loop tenodesis (LTD); simple tenotomy (STT). In both groups load-to-failure testing was performed. The load-displacement curve was used to determine the maximum load (N), the degree of distalization of the LHB (mm) and the stiffness (N/mm). Additionally, the mode of failure was registered. Results The LTD group achieved a significantly higher ultimate load to failure (LTD: 50.5 +/- 12.5 N vs. STT: 6.6 +/- 3.9 N; p = 0.001). Significantly less distalization of the tendon could be detected for the LTD group (LTD: 8 +/- 2.3 mm vs. STT: 22.4 +/- 2.4 mm; p = 0.001). Stiffness was 7.4 +/- 3.9 N/mm for the LTD group and 0.23 +/- 0.16 N/mm for the STT group (p = 0.001). In all specimens of the LTD group a tendon rupture was found as mode of failure, while the STT group failed because of pulling out the LHB through the bicipital groove. Conclusion The novel loop Tenodesis Technique shows biomechanically higher stability as well as less distalization compared to a simple tenotomy of the long biceps tendon.
Involved Institutions
Details
| Item type | Article | ||||
| Journal or Publication Title | BMC Musculoskeletal Disorders | ||||
| Publisher: | BMC | ||||
|---|---|---|---|---|---|
| Place of Publication: | LONDON | ||||
| Volume: | 20 | ||||
| Number of Issue or Book Chapter: | 1 | ||||
| Page Range: | pp. 1-6 | ||||
| Date | 9 November 2019 | ||||
| Institutions | Medicine > Lehrstuhl für Unfallchirurgie | ||||
| Identification Number |
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| Keywords | CORTICAL BUTTON FIXATION; INTERFERENCE SCREW; PROXIMAL BICEPS; HEAD; ANCHOR; Loop Tenodesis; Biceps tenotomy; Biomechanical evaluation; LHB; Popeye deformity; Long head of biceps | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-442146 | ||||
| Item ID | 44214 |
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