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Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique

Background: This study aimed to compare the outcomes of the single-incision technique with a distal biceps repair system versus the modified double-incision technique, specifically the Morrey-modified approach, Krackow sutures, and drill holes, for the management of acute and chronic distal biceps t...

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Autores principales: Hogea, Bogdan, Patrascu, Jenel-Marian, Abu-Awwad, Simona-Alina, Suba, Madalina-Ianca, Bolovan, Andrei, Stoianov, Anca Gabriela, Abu-Awwad, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573459/
https://www.ncbi.nlm.nih.gov/pubmed/37835067
http://dx.doi.org/10.3390/jcm12196423
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author Hogea, Bogdan
Patrascu, Jenel-Marian
Abu-Awwad, Simona-Alina
Suba, Madalina-Ianca
Bolovan, Andrei
Stoianov, Anca Gabriela
Abu-Awwad, Ahmed
author_facet Hogea, Bogdan
Patrascu, Jenel-Marian
Abu-Awwad, Simona-Alina
Suba, Madalina-Ianca
Bolovan, Andrei
Stoianov, Anca Gabriela
Abu-Awwad, Ahmed
author_sort Hogea, Bogdan
collection PubMed
description Background: This study aimed to compare the outcomes of the single-incision technique with a distal biceps repair system versus the modified double-incision technique, specifically the Morrey-modified approach, Krackow sutures, and drill holes, for the management of acute and chronic distal biceps tendon rupture. The study was conducted at the Orthopedic-Traumatology Clinic II of SCJUPBT Timisoara, Romania, between 2014 and 2022. Methods: A total of sixty-nine patients with acute distal biceps tendon rupture and five patients with chronic distal tendon rupture were included in the study. Forty-eight cases underwent the single-incision technique with the distal biceps repair system, while twenty-four patients were treated with the modified double-incision technique. Results: Both surgical techniques demonstrated favorable outcomes in terms of successful tendon repair and functional restoration. However, the single-incision technique exhibited slightly superior results in terms of patient satisfaction, range of motion, and postoperative rehabilitation. The modified double-incision technique showed comparable outcomes but had a higher incidence of complications, particularly related to wound healing. Conclusion: The single-incision technique with the distal biceps repair system and the modified double-incision technique, including the Morrey-modified approach, Krackow sutures, and drill holes, are effective surgical approaches for the management of distal biceps tendon rupture. The single-incision technique yielded better functional outcomes and patient satisfaction, while the modified double-incision technique had a higher risk of complications. Further research with larger sample sizes and longer follow-up periods is necessary to validate these findings and determine the most appropriate surgical approach for distal biceps tendon rupture.
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spelling pubmed-105734592023-10-14 Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique Hogea, Bogdan Patrascu, Jenel-Marian Abu-Awwad, Simona-Alina Suba, Madalina-Ianca Bolovan, Andrei Stoianov, Anca Gabriela Abu-Awwad, Ahmed J Clin Med Article Background: This study aimed to compare the outcomes of the single-incision technique with a distal biceps repair system versus the modified double-incision technique, specifically the Morrey-modified approach, Krackow sutures, and drill holes, for the management of acute and chronic distal biceps tendon rupture. The study was conducted at the Orthopedic-Traumatology Clinic II of SCJUPBT Timisoara, Romania, between 2014 and 2022. Methods: A total of sixty-nine patients with acute distal biceps tendon rupture and five patients with chronic distal tendon rupture were included in the study. Forty-eight cases underwent the single-incision technique with the distal biceps repair system, while twenty-four patients were treated with the modified double-incision technique. Results: Both surgical techniques demonstrated favorable outcomes in terms of successful tendon repair and functional restoration. However, the single-incision technique exhibited slightly superior results in terms of patient satisfaction, range of motion, and postoperative rehabilitation. The modified double-incision technique showed comparable outcomes but had a higher incidence of complications, particularly related to wound healing. Conclusion: The single-incision technique with the distal biceps repair system and the modified double-incision technique, including the Morrey-modified approach, Krackow sutures, and drill holes, are effective surgical approaches for the management of distal biceps tendon rupture. The single-incision technique yielded better functional outcomes and patient satisfaction, while the modified double-incision technique had a higher risk of complications. Further research with larger sample sizes and longer follow-up periods is necessary to validate these findings and determine the most appropriate surgical approach for distal biceps tendon rupture. MDPI 2023-10-09 /pmc/articles/PMC10573459/ /pubmed/37835067 http://dx.doi.org/10.3390/jcm12196423 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hogea, Bogdan
Patrascu, Jenel-Marian
Abu-Awwad, Simona-Alina
Suba, Madalina-Ianca
Bolovan, Andrei
Stoianov, Anca Gabriela
Abu-Awwad, Ahmed
Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title_full Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title_fullStr Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title_full_unstemmed Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title_short Comparative Analysis of Surgical Approaches for Distal Biceps Tendon Rupture: Single-Incision Technique versus Double-Incision Technique
title_sort comparative analysis of surgical approaches for distal biceps tendon rupture: single-incision technique versus double-incision technique
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573459/
https://www.ncbi.nlm.nih.gov/pubmed/37835067
http://dx.doi.org/10.3390/jcm12196423
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