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Table 3 Distal biceps tendon rupture surgical treatment as reported in literature, divided for single or double-incision approach. The rate of minor and major complications is reported

From: Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

Study Patients Incision Fixation method ROM Major complications Minor complications
Flexion Extension Pronation Supination
Tarallo et al. (present series) 63 2 Bone tunnels 125° 73° 70° 3(4.5%) PIN transient palsy 3 (4.7%) Intermittent pain
(min:110°-max: 135°) (min:−2-max:15°) (min:0°-max:90°) (min:0°-max:90°) 1 (1.5%) Radio-ulnar synostosis 6 (9.5%) ROM deficiency < 30%
  97% 92% 88.50% 1(1.5%) Atraumatic re-rupture 1 (1.5%) Isometric flexion strength defiency< 30°
      1 (1.5%) Isometric supination strength defiency< 60°
      3(4.47%) LACBN injury
Grewal et al. (13) 43 2 Suture anchors 131.8° ± 9.1 1.9° ± 4.6 72.4° ± 12.6 59.5° ± 11.5 1(2.32%) Atraumatic re-rupture 3(6.9%)LACBN injury
1(2.32%) HO
47 1 Bone tunnel 134.5° ± 6.9 3.0° ± 4.3 76.7° ± 8.2 63.9° ± 12.5 3(6.38%) Atraumatic re-rupture 19 (40.42%) LACBN injury
1 (2.12%) HO
Gupta at al. (24) 9 1 Endobutton 143° 77° 81° None None
(min:70°-max:82°) (min:78°-max:85°)
Citak et al. (25) 15 1 Intraosseous screw 147° 1.3° 88° 89.3° None 2(13.3%) LACBN injury
(min:142.4°-max:150.7°) (max:-0.6°-min:3.3°) (min:85.7°-ma:90.3°) (min:87.9°-max:90.8°)
24 1 Suture anchors 134° 1.3° 82.5° 81.7° 3(12.5%) re-rupture 3(12.5%) LACBN injury
(min:122.6°-max:145.3°) (min:-0.2-max:2.7°) (min:76.2°-max:88.8°) (min:74.9°-max:88.5°) 2(8.33%) ROM deficiency < 30%
25 2 Bone tunnel 135° 85.7° 84.7° None None
(min:118.9°-max:151.1°) (min:-0.6°-max:2.6°) (min:78.6°-max:92.5°) (min:77.9°-max:91.5°)
Eardley et al. (26) 14 1 Intraosseous screw 130° 66° 74° none 8(54%) LACBN injury
(min:110°-145°) (min:-10°-max:5°) (min:50°-max:80°) (min:50°-max:90°) 1(7.14%) HO
Johnson et al. (27) 12 1 Suture anchors 142° -2° 83° 85° None 1(8.33%) LACBN injury
1(8.33%) HO
14 2 Bone tunnel 145° 80° 83° None 3(21.42%)HO
Oke A. Anakwenze et al. (28) 12 2 Bone tunnel 153° ± 12.0° 0° ± 0° 78.5° ± 9.6° 78.9° ± 10.0° None none
Amin et al. (29) 785 1 Suture anchors      17(2.1%) re-rupture 77(9.9%) LACBN injury
Endobutton 13(1.7%)PIN palsy 25(3.2%) HO
Biotenodesis screw   49(6.24%) intermittent pain
498 2 Bone tunnel      3(0.6%) re-rupture 11(2.2%) LACBN injury
11(2.2%) synostosis 36(7.2%) HO
13(1.7%) PIN palsy  
David M. Weinstein et al. (30) 32 1 Suture anchors 145° ± 8 0° ± 3 88° ± 10 73° ± 10 None 2(6.25%) LACBN injury
1(3.12%) intermittent pain
Olsen JR et al. (31) 20 1 Cortical button + interference screw 140° ± 6.2 7° ± 5.1 79° ± 6.8 72° ± 9.5 4(20%) PIN palsy 3(18%) LACBN injury
17 1 Suture anchors 139° ± 5.6 5° ± 3.9 75° ± 9.2 76° ± 5.3 1(6%) PIN palsy None
  1. PIN posterior interosseous nerve
  2. ROM range of motion
  3. HO heterotopic ossification
  4. LACBN lateral ante brachial cutaneous nerve