OBJECTIVE: T o evaluate the treatment of rupture of the distal biceps brachii tendon in a group of patients treated at the UHO Department of Trauma Surgery. To evaluate the results of the treatment, including the representation of individual complications. It is a retrospective study. INTRODUCTION: It summarizes the results of treatment of the ruptures of distal biceps brachii tendon using a single-incision approach and reinsertions using fixation anchors. METHODOLOGY: Retrospective study of a cohort of 69 patients treated with this injury at the Department of Trauma Surgery between 2010 and 2019. RESULTS: During this period, 69 patients were treated using the studied surgical technique. In the majority of patients, right upper limb injuries were predominant. The predominant mechanism of injury was load lifting. Most of the patients were male. The average surgery time from injury was 1.4 days. All patients were operated using a single-incision approach and a fixation anchor, the most commonly used type of anchor being the Fastin anchor. The average treatment period was 4.13 months. The limitation of elbow joint mobility as a permanent consequence after completion of the treatment was as follows: on average, extension was limited by 3.35 degrees, flexion by 6.58 degrees, forearm supination by 8.53 degrees, and forearm pronation by 7.42 degrees. The average Mayo elbow score was 93.5 degrees. Postoperative complications occurred in 14.5 % of cases, most of them were transient neurological complications and fewer were early infections. In one case there was a release of the fixation anchor. CONCLUSION: Reinsertion of rupture of the distal biceps brachii tendon by a single-incision approach using fixation anchors appears to be a suitable method of surgical treatment of this injury.

Klinika chirurgie a úrazové chirurgie FN Ostrava

Ústav medicíny katastrof LF OU

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