Author Topic: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique  (Read 1921 times)

Offline gpenn01

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Distal Biceps Repair:  Arthrex BicepButton & Tension Slide Technique

I apologize if this is repeat information...   :P

I do seemed to be fascinated with this procedure due to it having been utilized for my surgery... and even more so, I feel addicted to this forum!!!   :o

http://www.arthrex.com/resources/animation/sjjeKPkEEeCRTQBQVoRHOw/distal-biceps-repair-using-the-bicepsbutton-and-tension-slide-technique



  • Hospital: AZ Spine & Joint Hospital
  • Repair Method: Arthrex button/tension slide/two incisions
  • Surgeon: Dr. Maxwell Thomas
  • Surgery Date: 18-OCT-2012 (07:30)
07-SEPT-2012:  Distal Bicep Tendon Rupture
08-OCT-2012:  MRI
16-OCT-2012:  1st visit - Ortho Doc
18-OCT-2012:  Surgery
   (both incisions glued and sent home in a sling)
31-OCT-2012:  1st post-op visit - Ortho Doc
   (told by doc to drop the sling)

Offline twilightzone

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #1 on: October 22, 2012, 02:33:37 PM »
I too along with a few other have had this surgery, but I only had 1 inscion with it, not sure why they used 2 for this procedure unless tendon was hard to find.
  • Hospital: Centenial Surgical Center
  • Repair Method: Arthrex button/tension slide/single Incision
  • Surgeon: Dr. Wetzler
  • Surgery Date: 7-16-12

Offline gpenn01

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #2 on: October 22, 2012, 04:23:30 PM »
I too along with a few other have had this surgery, but I only had 1 inscion with it, not sure why they used 2 for this procedure unless tendon was hard to find.

As I was waking up from the surgery, my wife told me... that the doc hod told her... that he had a difficult time finding/getting the tendon due to scarring... my surgery was at 5 weeks after the injury... what was to be an ~1 hour surgery turned into ~2 hours... what was to be only 1 incision, turned into 2 incisions, in an attempt to retrieve the tendon.

My doc called me the day after the surgery to check on me... and confirmed everything my wife had told me...

By the way, twilightzone, I can't help but admire the brace you are wearing in your profile picture... we essentially had the same procedure, but, we now have different post-surgery paths that we are on.  I was sent home in a sling with no expectation of ever needing to wear a brace... unless I buy one for travel purposes.

  • Hospital: AZ Spine & Joint Hospital
  • Repair Method: Arthrex button/tension slide/two incisions
  • Surgeon: Dr. Maxwell Thomas
  • Surgery Date: 18-OCT-2012 (07:30)
07-SEPT-2012:  Distal Bicep Tendon Rupture
08-OCT-2012:  MRI
16-OCT-2012:  1st visit - Ortho Doc
18-OCT-2012:  Surgery
   (both incisions glued and sent home in a sling)
31-OCT-2012:  1st post-op visit - Ortho Doc
   (told by doc to drop the sling)

Offline zimbo

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #3 on: October 23, 2012, 09:56:05 AM »
I had this same procedure with one incision, cool to watch the video  ;D  I do not think I have seen this one.
  • Hospital: Mercy Walworth
  • Surgeon: Dr Lyon
  • Surgery Date: 7/6/2012

Offline busbeepbeep

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #4 on: April 22, 2013, 12:44:04 PM »
My repair used this Arthrex method and 2-incisions.
  • Hospital: Ochsner Baptist New Orleans
  • Repair Method: Two-incision endobutton
  • Surgery Date: 3/28/2013

Offline BayAreaBravesFan

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #5 on: January 30, 2014, 02:54:51 AM »
I also had the Arthrex biceps button with tension slide and two incisions. My doc said my tear was so bad it shot way up my arm, so he had to make a second incision just to retrieve the tendon. I'm 13 days PO and I've had quite a bit of pain which the doc said is consistent with the severity of my situation.
  • Hospital: Post Street Surgery Center (San Francisco)
  • Repair Method: Arthrex button w/tension slide (two incision)
  • Surgeon: Dr. Piers Barry
  • Surgery Date: 1/16/14

Offline mnalep

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hi BayAreaBravesFan,

Did the Dr tell you how much the tendon was retracted? My MRI report said mine was 3 cm.
  • Hospital: Beaumont Hospital, Royal Oak, Michigan
  • Repair Method: tension slide, single incision
  • Surgeon: Dr. Kyle Anderson
  • Surgery Date: 5/20/2014
  • Surgery end results: Too early to know

Offline King Joe

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Mine...was a "catostrophic rupture" (doc's words).  11+ cm retracted!  Pulled right up to my shoulder basically.

King Joe, Outa Here!

Offline virgo

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #8 on: January 27, 2015, 10:26:23 AM »
Hello guys,

Mine retracted 12+ cm on one arm and 7+ cm in the other. Going to see the DOC tomorrow to evaluate his techniques and choose a good one.

Both arms at the same time here....what a nightmare I'm going thru.

I'm glad I've found this forum.
  • Hospital: Hospital Samaritano - Sao Paulo/Brasil
  • Repair Method: Single incision - two anchors
  • Surgeon: Dr Mauricio Raffaelli
  • Surgery Date: Feb 14th 2015
  • Surgery end results: Too early to know

Offline Oscar

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #9 on: February 24, 2015, 08:04:27 AM »
Hey Virgo, what a piece of tough luck to have both arms immobilized. It's difficult enough with only one arm - but that's for the first 3 weeks. With the Button repair method, you'll probably only be in slings. So you may start moving just enough to unbutton your pants now, maybe?  If you have a wife or a girlfriend to help you, that's a lot more helpful. Someone's gotta feed you too, I guess. Really hope you're getting some daily help. Get better soon! regards, Oscar
  • Hospital: Diakonhjemmet, Oslo, Norway
  • Repair Method: Toggleloc
  • Surgeon: Dr. Berge
  • Surgery Date: 1.2.2015
  • Surgery end results: Too early to know

Offline Djldoc

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #10 on: February 24, 2015, 11:24:56 AM »
Just a bit of information for you guys.  I am a repeat offender... different arm... had the endobutton the first time, and am going to have the anchor suture this time around due to the fact that my original surgeon moved.  If you have read any of my other posts, you will probably see that I have been a little leery of the anchor suture, worried about recovery time vs the endobutton or tension slide.  Over the past few days I have been doing a ton of research on the subject, both on and off this site, trying to decide what I should do.  I called around to different offices and spoke to a few different orthopedics and physical therapists that I have worked with over the years.  The surgeon I am working with ultimately said that failure of the tendon is more likely to occur away from the site of fixation than at the site of fixation regardless of the aforementioned techniques.  He essentially stated that according to studies (which I have read and confirmed):

there is a 16% difference between the suture anchor and endobutton which he considers insignificant, we shouldn't be stressing it that much anyway.  He said the only rerupture he experienced at the fixation site was from a person using a power drill which got stuck and torqued his arm out... ouch...4 weeks after surgery

The tendon will deteriorate within the first 8 weeks before it begins to strengthen.  The only way to speed up recovery is with the use of anabolic steroids or Growth hormone (He did not recommend the use of either, just stating research)

At roughly 6-8 weeks PO, the strength of the fixation regardless of procedure is from the tendon/bone interface and thus equal on all accounts

He uses a splint after surgery because it affords more protection to the area immediately, and allows for a more even expansion of the arm as it swells. He has seen complications where the braces compress the arm.  He switches to a brace after 10 days, will do it earlier for me.

He also said he did not have a problem with me regaining full ROM out of the brace, and said he thinks it is dumb to chance not wearing it when I am in a situation that could potentially cause harm... like not wearing a helmet while riding a Harley.  Also did not have a problem with me curling 1lb at 6 weeks, thus starting Shull's routine, just slow down the progression.

That being said, sorry to hijack your thread, main point is, don't let the fixation method completely fool you into thinking you can do more... still have to worry about the "healthy" part of the tendon.

D
« Last Edit: February 24, 2015, 06:06:35 PM by Djldoc »

Offline Mike in Rochester

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Re: Distal Biceps Repair: Arthrex BicepButton & Tension Slide Technique
« Reply #11 on: March 06, 2015, 04:57:04 PM »
One thing I found is that since our injury is so rare, there isn't a definitive procedure or rehabilitation protocol.  Having been through the surgery 2-1/2 weeks ago, and not reading much about it until after I had it, it's very scary just how many different techniques and various hardware are used.  That being said, here's to all of us make complete and speedy recoveries.
  • Hospital: Unity Linden Oaks Surgery Center in Rochester, NY
  • Repair Method: Single Incision with Endobutton and Interference Screw
  • Surgeon: Dr. Matthew Tomaino
  • Surgery Date: 2/17/15
  • Surgery end results: Too early to know