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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 und Grechenig, Stephan (2019) Novel implant-free loop Tenodesis vs. simple Tenotomy of the long biceps tendon - a biomechanical investigation. BMC Musculoskeletal Disorders 20 (1), S. 1-6.

Veröffentlichungsdatum dieses Volltextes: 22 Jan 2021 15:00
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.44214


Zusammenfassung

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC Musculoskeletal Disorders
Verlag:BMC
Ort der Veröffentlichung:LONDON
Band:20
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 1-6
Datum9 November 2019
InstitutionenMedizin > Lehrstuhl für Unfallchirurgie
Identifikationsnummer
WertTyp
10.1186/s12891-019-2919-zDOI
Stichwörter / KeywordsCORTICAL BUTTON FIXATION; INTERFERENCE SCREW; PROXIMAL BICEPS; HEAD; ANCHOR; Loop Tenodesis; Biceps tenotomy; Biomechanical evaluation; LHB; Popeye deformity; Long head of biceps
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-442146
Dokumenten-ID44214

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