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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2010

01-12-2010 | Shoulder

Biceps tenodesis with interference screw: cyclic testing of different techniques

Authors: Onur Hapa, Cüneyd Günay, Erkam Kömürcü, Hüsamettin Çakıcı, Ergun Bozdağ

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2010

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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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Metadata
Title
Biceps tenodesis with interference screw: cyclic testing of different techniques
Authors
Onur Hapa
Cüneyd Günay
Erkam Kömürcü
Hüsamettin Çakıcı
Ergun Bozdağ
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2010
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1180-7

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