Direkt zum Inhalt

Owner only: item control page
Kerschbaum, Maximilian ; Voss, Andreas ; Pfeifer, Christian G. ; Weiss, Isabella ; Mayr, Agnes ; Alt, Volker ; Greiner, Stefan ; Grechenig, Stephan

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 typeArticle
Journal or Publication TitleBMC Musculoskeletal Disorders
Publisher:BMC
Place of Publication:LONDON
Volume:20
Number of Issue or Book Chapter:1
Page Range:pp. 1-6
Date9 November 2019
InstitutionsMedicine > Lehrstuhl für Unfallchirurgie
Identification Number
ValueType
10.1186/s12891-019-2919-zDOI
KeywordsCORTICAL BUTTON FIXATION; INTERFERENCE SCREW; PROXIMAL BICEPS; HEAD; ANCHOR; Loop Tenodesis; Biceps tenotomy; Biomechanical evaluation; LHB; Popeye deformity; Long head of biceps
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-442146
Item ID44214

Export bibliographical data

Owner only: item control page

nach oben