Tech Hand Up Extrem Surg 2021 Dec 20. Epub 2021 Dec 20.
Department of Orthopaedic Surgery, Northwell/Northshore University Hospital-Long Island Jewish Medical Center, Manhasset Orthopaedic Associates of Manhasset, Great Neck, NY Heritage Valley Health System, Hand and Upper Extremity Center, Wexford, PA Resurgens Orthopaedics, Marietta, GA.
Historically, distal biceps tendon repair through the tension slide technique (TST) using a cortical button has yielded the strongest published repair measured by observed gap formation in both cyclic and maximal load to failure. The modified tension slide technique (MTST) was developed in order to provide the surgeon with a technically simpler and biomechanically more effective way to reduce gap formation and consistently seat/bottom-out the tendon within the bone tunnel through a more direct line of pull. In order to compare the biomechanics of the MTST to the TST, we used 24 matched bovine extensor tendons, and conducted maximal load to failure and cyclical load to failure testing using an Instron 5566 machine. Read More