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.