Titananker versus resorbierbarer Bioanker - Ergebnisse nach Refixation der distalen Bizepssehne
Auch gedruckt in der BibliothekW: W-H 12.930
Ressourcen- / MedientypDissertation, Text
Datum der Freischaltung2012-06-26
Background: The rupture of the distal biceps tendon is an extremely rare injury, occurring in male patients between 30 and 50 years. Surgical treatment is indicated due to high loss of function. The standard treatment is the reinsertion of the biceps tendon using an anchor. There are two different types: the titan anchor and the bio-absorbable anchor. The aim of this study was to research if the used anchor type influences functional outcome, subjective contentment, complication rate or the duration of rehabilitation. Methods: We collected and researched the dates of all patients treated for rupture of distal biceps tendon at the University of Ulm between the years 2000 - 2008. Out of 15 eligible patients, 8 were treated with a titan anchor and 7 had received a bio-absorbable anchor. Applying the score of Broberg and Morrey we evaluated strength, function, pain level and stability. Furthermore we used the DASH Score (Disabilities of the Arm, Shoulder and Hand) to judge the ability of coping with daily life activities. Results: The majority of patients achieved an outcome of "good" or "excellent" at the Broberg and Morrey Score. Those patients had no restriction in flexion, extension or pronation. Results for strength were between 80 - 100 % compared to the opposite side in all patients. The DASH Score showed "excellent" results in all patients. There was as single complication of wound infection and another complication of edema. Both regressed under appropriate treatment. Regarding duration of rehabilitation patients with bio-resorbable anchor needed 5 - 8 weeks on average for recovery, those with titan anchor 9 - 12 weeks. Conclusion: Both patient groups showed good to excellent recovery of function, a difference regarding subjective evaluation of functional outcome could not be found. An influence of the used anchor type on occurring complications could not be detected. The only difference might be found in the duration of rehabilitation.
Refixation der Bizepssehne