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PubMedDate not supplied

Arthroscopic biceps tenodesis.

Surgical treatment of symptomatic pathology of the long head of the biceps tendon generally consists of either biceps tenotomy or tenodesis. Biceps tenodesis is generally recommended for younger patients and has been well described using open techniques. With advancements in arthroscopic ability and equipment, new arthroscopic techniques have recently been reported. These techniques can be especially useful when used in conjunction with other arthroscopic procedures such as distal clavicle resection, rotator cuff repair, and subacromial decompression. We present a modification of the techniques suggested by other researchers. In this technique, a bone anchor is used as a pulley at the bottom of the tunnel to pull the tendon into position. This is followed by interference screw fixation. To our knowledge, this technique has not been previously described.

Arthroscopy↗
PubMed1981

Anterior tibial transfer to the os calcis with Achilles tenodesis for calcaneal deformity in myelomeningocele.

Seven children aged 3.0 to 5.8 years underwent bilateral simultaneous transfer of the anterior tibial muscle to the os calcis combined with Achilles tenodesis. All patients underwent pre- and postoperative gait analysis. Results indicated decreased knee flexion in stance and decreased ankle dorsiflexion in stance resulting in a more upright posture in all patients. Electromyography revealed prolongation of firing time in both stance and swing phase of the gait cycle. Polypropylene ankle-foot orthoses, used to protect the transfers in the postoperative period, improved step length, single limb support, and walking velocity in all patients. Three patients underwent force plate analysis to calculate work output. The reduction in work from 1.578 to 0.628 joules/kg/m suggested a favorable reduction in the work required to ambulate following surgery. No equinus deformity developed as a consequence of the Achilles tenodesis. These preliminary findings suggest the combined procedure restored a more optimal balance to the foot and ankle. Postoperative orthotic support was beneficial for protection of the corrected alignment as well as long-term function.

Achilles Tendon↗
PubMed1994

Achilles tendon tenodesis to prevent heel pad migration in the Syme's amputation.

In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 successful Syme's cases, the heel pad has remained stable with no migration, and no skin breakdown at an average follow-up of 18.5 months. Published series of Syme's amputations report that the incidence of heel pad migration is between 7.5% and 45%, and occurs primarily in the post-operative or early rehabilitation stage. We believe that tenodesis of the Achilles tendon is a technically easy addition to the Syme's amputation, that it keeps tension off of the incision during healing, and that it prevents migration of the heel pad.

Achilles Tendon↗
PubMed2005

Reinforced iliotibial tenodesis for chronic anterolateral instability of the knee: a 6-year follow-up.

Reinforced iliotibial tenodesis is an extra-articular procedure to eliminate anterolateral instability of an anterior cruciate ligament-deficient knee. The procedure carries a low complication rate and offers an easy rehabilitation program. This study evaluated the use of reinforced iliotibial tenodesis in a select group of 52 patients with a mean age of 41 years (range: 38-50 years). Obese patients, professional athletes, and patients with more complex injuries (eg, concomitant posterior cruciate or medial collateral ligament injuries) were excluded. Results are encouraging after a mean follow-up of 6 years (range: 2-10 years). Although 24 patients had a positive anterior drawer or Lachman test, none had a positive pivot test. In addition, all patients reported giving way was eliminated after surgery.

Adult↗
PubMed2000

[Effect of brachial-radial and extensor carpi radialis longus tenodesis on elbow flexion-extension movements. Application to tendon transfers in tetraplegia].

The authors show that extension of the elbow produces a traction on brachioradialis (BR) and extensor carpi radialis longus (ECRL): if their tendon is distally freed, it is pulled in the proximal direction when the elbow extends. This phenomenon provides tenodesis effects, especially after tendon transfer in tetraplegia. It has been assessed on 31 upper limbs of patients and fresh cadavers. The mean tendon excursion, between 90 degrees flexion and full extension of the elbow, was 32 mm for BR and 19 mm for ECRL. These tenodesis effects related to the extension of the elbow leads the authors to recommend three practices in tetraplegic patients: active extension of the elbow should be restored before rehabilitation of the hand, and a 90 degrees flexion of the elbow is the position in which BR and ECRL transfers should be set intraoperatively, as well as immobilized postoperatively.

Biomechanical Phenomena↗
PubMed1990

Massive heterotopic ossification after biceps tendon rupture and tenodesis.

Few complications from tenodesis of the long head of the biceps brachii have been described despite the wide variety of techniques. In a 53-year-old man, rupture of this tendon was treated by tenodesis and was complicated by heterotopic ossification that severely limited the function of the shoulder joints. Nonsurgical conservative treatment of biceps tendon ruptures may avoid the possibility of this complication.

Humans↗
PubMed1989

Tenodesis of the long head of the biceps brachii for chronic bicipital tendinitis. Long-term results.

Fifty-four shoulders in fifty-one patients were followed for an average of thirteen years (range, two to twenty-three years) after surgical tenodesis of the long head of the biceps brachii for the treatment of chronic tendinitis. At an average of six months postoperatively, in all but three shoulders (forty-eight patients) some benefit was evident. However, after a longer follow-up, a satisfactory result was achieved in only twenty-eight shoulders (approximately 50 per cent). About one-third of the shoulders continued to be pain-free, and in eight shoulders (15 per cent) an additional operation was performed. Tenodesis of the long head of the biceps tendon, therefore, was not an effective treatment for tendinitis over the long term.

Adult↗
PubMed1988

The results of tenodesis of the tendo achillis to the fibula for paralytic pes calcaneus.

Sixty-six consecutive tenodeses of the tendo achillis to the fibula were done in sixty patients who had paralytic pes calcaneus. The patients were followed for an average of 5.7 years (range, two to 10.8 years). The preoperative disturbance of gait was eliminated in all of the patients, and radiographic improvement was noted in the feet that had been operated on. Sixteen feet (23 per cent) required revision of the tenodesis because equinus deformity had developed. The development of equinus deformity was found to occur more often in patients who had the procedure at a younger age and in patients in whom the calcaneotibial angle measured more than 70 degrees at the time of the tenodesis. Residual cavovarus deformity was successfully treated by a plantar release.

Achilles Tendon↗
PubMed1986

Biceps tenodesis for painful inferior subluxation of the shoulder in adult acquired hemiplegia.

Painless inferior subluxation of the shoulder is a common finding following stroke and is a manifestation of the adynamic nature of the disorder. The weight of the limb is not counterbalanced by shoulder musculature. This is a preliminary report of a simple tenodesis procedure performed in six patients with uniformly successful reduction of the subluxation. The tenodesis is performed through a short deltopectoral approach. The tendon of the long head of the biceps is looped over the coracoid process of the scapula and secured with a barbed staple, thus reducing the subluxation. The indications were painful inferior subluxation of a flail shoulder and failure of multiple orthotic attempts to relieve discomfort. Follow-up evaluation ranged from ten to 42 months with no instances of pain or recurrent subluxation in five cases. The one failure was in a patient whose pain was thought to be thalamic in origin. The subluxation was reduced, but the pain persisted.

Adult↗
PubMed1979

Semitendinosus tenodesis for recurrent subluxation or dislocation of the patella.

In 26 knees treated by semitendinosus tenodesis, there was no recurrence of dislocation, but fair and poor results totaled 38% due to persistent pain because of chondromalacia of the patella. Poor results are also more common in the patients with generalized ligamentous laxity. Postoperative complications in wound healing suggest that the medial parapatellar skin incision is less than adequate. Semitendinosus tenodesis with or without modifications is a useful procedure to prevent recurrent dislocations and subluxation during the growth period.

Adolescent↗
PubMed1984

Metacarpal ligament sling tenodesis.

For patients with intrinsic paralysis, if a tendon transfer is not possible, a metacarpal ligament sling tenodesis can effectively correct the claw deformity and synchronize metacarpophalangeal and interphalangeal joint flexion and extension. This sling tenodesis consists of a tendon graft looped about the deep transverse metacarpal ligament and sutured to the lateral bands of adjacent fingers.

Finger Joint↗
PubMed1980

[Modified technic of distal joint tenodesis].

A suggestion for a modified technique of tenodesis of the distal interphalangeal joint which always leads to a secure tenodesis by using one part of the superficial flexor tendon.

Arthrodesis↗
PubMed1999

12-year outcome after modified Watson-Jones tenodesis for ankle instability.

In a retrospective study, the long term outcome of the modified Watson-Jones tenodesis according to Lemberger and Kramer was determined using a questionnaire, clinical examination, radiographic data, including stress views, measurement of plantar pressure distribution, and peroneal reaction times on a tilt board. Twenty-five male patients (mean age, 34 years) with a mean followup of 12 years from surgery were available for examination. Eighteen patients (72%) were classified clinically as having excellent or good results. The higher presence of osteophytes in the surgically treated ankle in comparison with the opposite side indicated the progression of arthrosis with time, but this finding could not be related to the reconstruction method. Anterior drawer and talar tilt were reduced significantly in comparison with the preoperative stress radiographs. No differences in plantar pressure distribution were seen between the patients' surgically treated and nonsurgically treated feet. The peroneal reaction times of the peroneus brevis and peroneus longus muscles were significantly shorter in the surgically treated foot compared with the opposite side. It was concluded that the modified Watson-Jones tenodesis effectively corrected lateral ankle instability with no clinical deterioration with time and no influence on gait.

Adolescent↗
PubMedDate not supplied

Functional electrical stimulation reinforced tenodesis effect controlled by myoelectric activity from wrist extensors.

We demonstrated a method for enhancing the tenodesis grip in individuals with sustained tetraplegia at the 6th cervical vertebra neurological level. Subjects used the myoelectric activity from wrist extensor muscles to directly control the electrical stimulation of the extrinsic finger and thumb flexors (flexor pollicis longus and flexor digitorum superficialis/ profondus) with the use of a specially designed system, Myoelectrically Controlled Functional Electrical Stimulation (MeCFES). We screened 20 medical records and selected 9 subjects. Of the nine subjects, five showed a positive response to the surface stimulation and could test the system; the other four failed to achieve functional finger flexion because of skin sensitivity or inadequate movement. We evaluated hand function, with and without the MeCFES system, using tests involving three everyday objects: manipulating a videocassette with the key grip, drinking from a bottle with the palmar grasp, and writing with a pen using the tripod grip. Without the system, none of the five subjects could complete all three tasks; but, when assisted with MeCFES, all subjects completed all the tasks. The system proved simple and intuitively easy to use, and no training was needed for subjects to obtain immediate functionality. We will need further research to evaluate the usefulness of the system in activities of daily living.

Adolescent↗
PubMed2006

Endoscopic Achilles tenodesis: a surgical alternative for chronic insertional tendinopathy.

This report describes an endoscopic approach for visualization and repair of heel structures potentially involved in patients presenting chronic calcaneal tendon insertion pain. Tendon-bone junction separation allows enthesis debridement. Tenodesis with a knotless absorbable anchor completes this minimally invasive surgical procedure for chronic insertional Achilles tendinopathy.

Achilles Tendon↗
PubMed1989

Extensor carpi ulnaris and flexor carpi ulnaris tenodesis of the unstable distal ulna.

A procedure for stabilizing the distal ulna using the extensor carpi ulnaris and flexor carpi ulnaris is described. Seven patients who had sustained posttraumatic distal ulnar dorsal instability and articular degeneration and one patient with instability caused by rheumatoid arthritis were operated on. All eight obtained stable ulnae with mean motion of 62 degrees of supination and 86 degrees of pronation (mean increase of 32 degrees of supination and 43 degrees of pronation). Follow-up averaged 28 months (range, 18 to 63 months). The tenodesis, using a weave of a distally-based slip of flexor carpi ulnaris and a proximally-based slip of extensor carpi ulnaris combined with a Darrach procedure, is a reliable, reproducible salvage procedure for stabilizing the degenerated distal radioulnar joint and for salvaging the symptomatic unstable ulna after excessive distal ulna resection.

Adult↗
PubMed2004

Posterolateral corner reconstruction using a hamstring allograft and a bioabsorbable tenodesis screw: description of a new surgical technique.

Capsuloligamentous posterolateral corner knee joint deficiencies cause increased anterior cruciate ligament forces during internal knee rotation and increased posterior cruciate ligament forces during external knee rotation. Undiagnosed posterolateral corner knee joint injury in combination with anterior cruciate ligament or posterior cruciate ligament injury can lead to failure of anterior cruciate ligament or posterior cruciate ligament reconstruction. The purpose of this technical note is to present a new posterolateral corner reconstruction technique for treating patients with chronic capsuloligamentous posterolateral corner deficiency. The technique uses a bioabsorbable tenodesis screw and a hamstring allograft to reconstruct the popliteofibular and lateral collateral ligaments.

Absorbable Implants↗