2023 Annual Meeting Wrist & Elbow Access Pass-Acute vs. Chronic Repair for Distal Biceps Tendon Ruptures

Acute vs. Chronic Repair for Distal Biceps Tendon Ruptures_ A Systematic Review and Meta-Analysis

Video Transcription

Video Summary

Dr. Corey Arecio presented a systematic review and meta-analysis comparing acute versus chronic repairs for distal biceps tendon ruptures. Acute repairs showed significantly better supination endurance and a trend toward higher flexion endurance and range of motion, though differences in range of motion and patient-reported outcomes were not significant. Chronic repairs had a higher overall complication rate, particularly post-operative infections, irrespective of surgical approach or fixation technique. Despite technical challenges with chronic repairs, they remain preferable to non-operative treatment. Overall, acute repair is favored due to better functional endurance and lower complication risks, but chronic repair is a viable option when necessary.

Asset Caption

Cory A. Riccio, M.D.

Keywords

distal biceps tendon rupture

acute repair

chronic repair

supination endurance

complication rate