Bioabsorbable interference screw fixation of distal biceps ruptures through a single anterior incision: a single-surgeon case series and review of the literature.

INTRODUCTION: We present a single-surgeon series of 14 acute ruptured distal biceps tendons repaired using a biotenodesis screw through a single anterior incision. PATIENTS: The demographics of this population reveal a typical injury pattern and reflect the preponderance of distal biceps ruptures in the middle aged, active male. Goniometric post-operative assessment of flexion, pronation and supination range demonstrates excellent clinical function in these patients. METHOD: Subjective analysis is afforded by DASH and MEPS scoring at the 6-month follow-up. RESULTS: The results are discussed in relation to previous studies utilising disparate repair methods. This is the first prospective clinical series to be reported using this combination of fixation and approach. Clinical and patient assessed functions are excellent and complications are minimal. CONCLUSION: This is a safe and successful technique for the management of distal biceps tendon ruptures.

First metatarsophalangeal joint replacement using the bio-action great toe implant: intermediate results.

BACKGROUND: With improvements in biomaterials and design, implant arthroplasty is becoming a useful option for treatment of disorders of the hallux. METHODS: Forty-eight patients (53 implants) who had Bio-Action great toe implants (Osteomed, Addison, TX) for symptomatic advanced degenerative changes in the first metatarsophalangeal (MTP) joint have been followed prospectively since August of 1998. We reviewed the functional results of 32 patients (36 implants) at a minimum followup of 36 (range 36 to 69, mean 47) months. The scoring system designed by Kitaoka etal. was used to assess the functional results. Patient satisfaction, length of hospital stay, time to return to routine activities, footwear problems, radiographic appearances, and complications also were studied. RESULTS: With the numbers available, there was significant improvement in the range of motion achieved and hallux MTP scale after the operation. There was a positive correlation (r = 0.87) between patient satisfaction and the hallux MTP scale. However, there was no correlation between patient age and patient satisfaction or hallux MTP scale. Seventy-seven percent of patients considered the result of the operation to be good or excellent. CONCLUSION: Overall, the 5-year functional results of this total joint system appeared to be satisfactory.