2021 Annual Meeting Shoulder Access Pass-Clinical Outcomes of the Open Subpectoral Biceps Tenodesis Technique with Implant-Free Fixation

Clinical Outcomes of the Open Subpectoral Biceps Tenodesis Technique with Implant-Free Fixation

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Video Summary

This study evaluates an implant-free open subpectoral biceps tenodesis technique in 182 predominantly active-duty military patients over an average 4.3-year follow-up. The method involves suture fixation without hardware, reducing risks of neurovascular injury, fracture, or implant complications. Results showed a low 4.4% overall complication rate, 0.5% revision rate, and nearly 97% return to full duty, with no deep infections or nerve injuries. Compared to implant-based or arthroscopic approaches, this technique offers comparable outcomes and significant cost savings. The largest case series to date, it supports implant-free tenodesis as a safe, effective option for active populations.

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Dr. Michael Baird | The Thrower's Shoulder

Keywords

implant-free biceps tenodesis

open subpectoral technique

military patients

suture fixation

low complication rate