AI Article Synopsis
- The study compares 30-day adverse event rates between two surgical procedures for biceps pathology: open biceps tenodesis and biceps tenotomy.
- Analysis was conducted on data from over 12,000 patients using statistical methods to ensure accuracy, revealing that tenodesis procedures had lower rates of complications, while tenotomy had higher rates of adverse events like sepsis and reoperation.
- Overall, both procedures are considered safe, but tenodesis is associated with fewer complications and a higher likelihood of being performed as an outpatient procedure.
Article Abstract
Purpose: To compare 30-day postoperative rates of adverse events, particularly infection rates, between open biceps tenodesis and biceps tenotomy.
Methods: The American College of Surgeons National Surgical Quality Improvement Program was filtered using codes to identify patients undergoing open biceps tenodesis and tenotomy from 2010 to 2021. Patients were divided into cohorts based on procedure type. Propensity score matching was used to account for confounding variables. Statistical analyses were conducted to compare 30-day postoperative outcomes between cohorts, as well as to evaluate secondary risk factors for complications.
Results: Overall, 12,367 patients were included in the study with 11,417 undergoing open biceps tenodesis and 950 undergoing biceps tenotomy. After matching, 1,900 patients were included in the final analysis. The rate of outpatient procedures in the tenodesis cohort was significantly higher than in the tenotomy cohort. Rates of any adverse event (AAE), sepsis, pneumonia, reoperation, and extended length of stay (LOS) were significantly higher in the tenotomy cohort compared with the tenodesis cohort. There was no difference in infection rates or wound dehiscence between the 2 groups. After multivariable analysis, increasing age, longer operative time, and history of bleeding disorders were associated with significantly higher odds of developing AAE.
Conclusions: In this study, we found that tenotomy and open tenodesis are both safe options for treatment of biceps pathology. The overall rate of developing AAE and the rate of postoperative sepsis were higher in the tenotomy cohort. In addition, rates of postoperative infection and wound dehiscence did not vary between the 2 groups. Small differences were additionally observed in rates of pneumonia, return to the operating room, and extended LOS, and these rates were higher in the tenotomy cohort.
Level Of Evidence: Level III, retrospective comparative study.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240023 | PMC |
| http://dx.doi.org/10.1016/j.asmr.2024.100928 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
All Suture Biceps Tenodesis Has Greater Biomechanical Strength Than Metal Button Fixation.
Arthrosc Sports Med Rehabil
December 2024
Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, U.S.A.
Purpose: To evaluate the maximal load to failure, cyclic displacement, stiffness, and modes of failure of onlay subpectoral biceps tenodesis with an intramedullary unicortical metal button (MB) versus an inlay, all-suture Caspari-Weber (CW) technique.
Methods: Sixteen matched paired human cadaveric proximal humeri were randomly allocated for subpectoral BT with either CW or MB using a high-strength suture (N = 16; 8 male, 8 female, mean age = 82.5 years, range 62-99 years).
Cross-Cultural Validity and Reliability of the Thai Version of the Simple Shoulder Test.
Orthop J Sports Med
January 2025
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Background: The Simple Shoulder Test (SST) is a widely used patient-reported outcome measure for shoulder function. However, there is currently no version of the SST for the Thai population.
Purpose: To cross-culturally adapt and evaluate the reliability and validity of a Thai version of the SST (Thai SST) for patients with shoulder pathologies, using the Thai version of the American Shoulder and Elbow Surgeons (ASES) score as a comparison tool.
Biomechanical coordination and variability alters following repetitive movement fatigue in overhead athletes with painful shoulder.
Sci Rep
January 2025
Department of Sport Biomechanics, Faculty of Sports Sciences, Bu-Ali Sina University, Hamedan, Iran.
Most sports and leisure activities involve repetitive movements in the upper limb, which are typically linked to pain and discomfort in the neck and shoulder area. Movement variability is generally expressed by changes in movement parameters from one movement to another and is a time-dependent feature of repetitive activities. The purpose of this study was to examine the effect of repeated movement-induced fatigue on biomechanical coordination and variability in athletes with and without chronic shoulder pain (CSP).
View Article and Find Full Text PDFReturn to Play After Arthroscopic Superior Labral Repair: A Systematic Review.
Am J Sports Med
January 2025
Duke University School of Medicine, Durham, North Carolina, USA.
Background: Superior labral tears are common shoulder injuries among athletes, and for athletes undergoing surgical intervention, one of the main priorities is to return to preinjury levels of activity in a timely manner. However, the literature surrounding return to play after superior labral repair presents inconsistent results, with limited studies evaluating the timing of return to play.
Purpose: To systematically review the rate and timing of return to play in athletes after arthroscopic superior labral repair.
Effects of Biceps Rerouting on In Vivo Glenohumeral Kinematics in the Treatment of Large-to-Massive Rotator Cuff Tears.
Am J Sports Med
January 2025
Department of Sports Medicine, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Background: Arthroscopic repair with the biceps rerouting (BR) technique has been determined to lead to promising clinical and biomechanical outcomes for treating large-to-massive rotator cuff tears (LMRCTs). However, the in vivo effects of BR on glenohumeral kinematics during functional shoulder movements have not been fully elucidated.
Purpose: To investigate whether BR provides a better restoration of shoulder kinematics compared with conventional rotator cuff repair (RCR).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!