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Biceps tenodesis with interference screw: cyclic testing of different techniques

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Different surgical techniques exist for biceps tenodesis. The most secure fixation technique is with interference screws. The purpose of the study was to compare the biomechanical performance of three different interference screw biceps tenodesis fixation methods, which involve different tunnel preparation methods. Using a sheep shoulder model and metal interference screws, a bone wedge technique was compared to serial tunnel dilation and a control group. After a preload, all repairs were cyclically loaded (20–60 N) for 100 cycles followed by destructive testing. Biceps tenodesis using an interference screw—bone wedge technique showed statistically lower cyclic displacement (8.1 ± 6.4 mm) than serial dilatation with an interference screw (21.3 ± 8.4 mm) or interference screw fixation alone (18.3 ± 8.3 mm) (P = 0.02). There were no statistically significant differences in ultimate failure strength for any of the interference screw biceps tenodesis techniques tested. The tunnel preparation method chosen for interference screw fixed biceps tenodesis can have a positive effect on tenodesis performance. Using the bone wedge technique may allow a more rapid rehabilitation program applicable for the traumatic biceps tendon rupture seen in young, athletic patients with high demands.

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Authors and Affiliations

  1. Çelikkent Sitesi, A-2 No: 6 Çayyolu, Ankara, Turkey

    Onur Hapa

  2. Department of Orthopaedic Surgery, Gülhane Military Academy, Ankara, Turkey

    Onur Hapa

  3. Department of Orthopaedic Surgery, Ankara Numune Education and Research Hospital, Ankara, Turkey

    Cüneyd Günay

  4. Department of Orthopaedic Surgery, Aksaray State Hospital, Aksaray, Turkey

    Erkam Kömürcü

  5. Department of Orthopaedic Surgery, Abant İzzet Baysal University, Bolu, Turkey

    Hüsamettin Çakıcı

  6. Department of Mechanical Engineering, İstanbul Technical University, İstanbul, Turkey

    Ergun Bozdağ

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  1. Onur Hapa
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  2. Cüneyd Günay
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  4. Hüsamettin Çakıcı
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Correspondence to Onur Hapa.

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Hapa, O., Günay, C., Kömürcü, E. et al. Biceps tenodesis with interference screw: cyclic testing of different techniques. Knee Surg Sports Traumatol Arthrosc 18, 1779–1784 (2010). https://doi.org/10.1007/s00167-010-1180-7

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  • DOI: https://doi.org/10.1007/s00167-010-1180-7

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