Biceps Tenodesis for Distal Biceps Tendon Repair
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Procedure Outline
Table of Contents
- Identification and Preservation of Lateral Antebrachial Nerve
- Whip Stitches Through Tendon
- Debride Distal End of Tendon Stump
- Confirm Tendon Sizing
- Mark Distal Centimeter of Tendon Stump
- Place Shuttle Stitch
- Place Limbs of Whip Stitch Through Distal Biceps Tendon Button
- Place Button on Insertion Device
- Deep Dissection to Proximal Radius
- Sharp Excision of Tendon Remnant from Footprint
- Decortication of Radial Tuberosity Footprint
- Unicortical Placement of Guidewire in Radial Tuberosity
- Confirm Guidewire Placement via Fluoroscopy
- Advance Guidewire Through Second Cortex
- Place 7.5-mm Acorn Reamer over Guidewire and Across First Cortex
- Irrigation to Remove Bone Shavings
- Place Biceps Button Through Both Cortices
- Deliver Tendon Through Bone Tunnel
- Deliver Second Limb of FiberWire Through Tendon via Previously Prepared Shuttle Stitch
- Tie Two Ends Together to Lock Distal Biceps Tendon in Bone Tunnel
- Examine First Point of Fixation
- 7-mm Tenodesis Screw Placement for Second Point of Fixation
- Tie Two Limbs of FiberWire Together for Third Point of Fixation