AANA19 Surgery Simulcast Access Pass: Bicep Repair (Mighell/Smith)-Bicep Repair: Live Surgery Simulcast

Video Transcription

Video Summary

In this live surgical demonstration, Dr. Mark Myle, guided by moderator Pat Smith, performs a distal bicep tendon repair using the Arthrex system. The patient, a 47-year-old active individual, undergoes a vertical incision to access and repair the tendon. The procedure involves careful identification and protection of the radial nerve and its branches, meticulous tendon debridement, and use of a fiber loop for tendon weaving. Dr. Myle emphasizes the effectiveness of the suture button and screw fixation, highlighting a low failure rate from extensive experience. Arthroscopic assistance ensures accurate placement of the guide pin and screw in the radial tuberosity. Postoperative care includes a posterior splint at 60 degrees for 10 days, followed by gradual motion with lifting restrictions to prevent complications. Dr. Myle stresses early surgical intervention, ideally within two to three weeks, for optimal outcomes and easier repair. The surgery concludes with successful tendon fixation and restored elbow mobility.

Asset Caption

Live Surgery Simulcast-Friday, May 3rd, 2019

Keywords

distal bicep tendon repair

Arthrex system

radial nerve protection

suture button fixation

arthroscopic assistance

postoperative care