caa a22 4500 605457832 CHVBK 20210128100225.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-013-2571-3 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2571-3 Reconstruction of distal biceps tendon ruptures with a cortical button [Elektronische Daten] [Izaäk Kodde, Michel van den Bekerom, Denise Eygendaal] Purpose: Reconstruction of the ruptured distal biceps tendon is best done with a cortical button technique according to recent biomechanical studies. However, clinical outcome studies that evaluate the cortical button reconstruction technique are scarce. The purpose of this study was to evaluate the results of a cortical button reconstruction technique in patients with a traumatic distal biceps tendon rupture. Methods: Twenty-two patients with 24 traumatic distal biceps tendon ruptures underwent surgical treatment. Reconstructions were done using the Endobutton or Toggle Loc. Postoperative evaluation consisted of ROM, strength, stability, neurological status and standard radiographs in AP view and lateral direction. The Mayo Elbow Performance Index (MEPI) and quick Disabilities of Arm, Shoulder and Hand (qDASH) questionnaires were also obtained. Results: At a median follow-up of 22months, the mean strength for flexion was 100% (SD 21.3) and for supination 97% (SD 7.8), compared to the contralateral side. There were complications in 8 patients (36%), and heterotopic ossifications were seen on radiographs in 23% of patients. Heterotopic ossifications were symptomatic in one patient. Conclusions: The results after distal biceps tendon refixation with a cortical button were good according to ROM, MEPI and qDASH scores and strength. However, this procedure was accompanied with complications; in particular, the formation of heterotopic ossifications was frequently seen, though clinically relevant in only one patient. Level of evidence: Case series, Level IV. Springer-Verlag Berlin Heidelberg, 2013 Complications nationallicence Cortical button nationallicence Distal biceps tendon nationallicence Elbow nationallicence Heterotopic ossifications nationallicence Rupture nationallicence Kodde Izaäk Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut van den Bekerom Michel Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut Eygendaal Denise Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 919-925 0942-2056 23:3<919 2015 23 167 https://doi.org/10.1007/s00167-013-2571-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2571-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kodde Izaäk Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut NATIONALLICENCE 700 1- van den Bekerom Michel Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut NATIONALLICENCE 700 1- Eygendaal Denise Upper Limb Unit, Department of Orthopaedics, Amphia Hospital, Post-box 90158, 4800 RK, Breda, The Netherlands aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 919-925 0942-2056 23:3<919 2015 23 167