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Distal Biceps Tendon Repair

Distal biceps tendon repair is a specialised surgical procedure designed to reattach a torn distal biceps tendon to the elbow. This surgery is often necessary when the tendon, which connects the biceps brachii muscle to the radius bone in the forearm, is ruptured due to injury or overuse. Prompt repair can restore strength and function to the arm, preventing long-term complications.

A distal biceps tendon rupture can tear completely or partially, leading to significant pain, weakness, and loss of function in the affected arm. Surgical intervention aims to restore normal tendon function and enable patients to resume their daily activities and physical pursuits.

Also known as: Biceps tendon reattachment surgery, Biceps tendon repair

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Everything You Need to Know

Distal biceps tendon repair is an effective solution for individuals experiencing a tear in the biceps tendon at the elbow. This surgery, known as distal biceps repair, is particularly beneficial for those who have not found relief through non-surgical treatments such as rest, physiotherapy, or bracing.

Key benefits of distal biceps tendon repair include:

  • Pain Relief: Significant reduction or elimination of pain associated with the tendon tear.
  • Restored Strength: Recovery of muscle strength and function in the biceps.
  • Improved Mobility: Enhanced range of motion and overall arm function.

Elbow flexion plays a crucial role in the recovery process, as variations during surgery can influence the effectiveness of the repair and the restoration of function and strength in the elbow post-injury.

Before the Procedure

Consultation

The first step is a thorough consultation with one of our expert orthopaedic surgeons. During this session, your medical history, symptoms, and previous treatments will be reviewed to determine if distal biceps tendon repair is the right option for you. Additionally, the anatomical considerations, including the proximity of the posterior interosseous nerve, will be discussed to ensure careful surgical planning and avoid nerve injury.

Health Assessment

A comprehensive health assessment will be conducted to ensure you are fit for surgery. This includes blood tests, imaging studies (such as X-rays or MRI scans), and a review of any medications you are currently taking.

Pre-Procedure Instructions

To ensure a smooth procedure and optimal recovery, you will receive detailed pre-procedure instructions. These may include:

  • Medication Adjustments: Guidance on which medications to stop or continue.
  • Fasting: Instructions to refrain from eating or drinking after midnight on the day of your surgery.
  • Lifestyle Advice: Recommendations such as stopping smoking and maintaining a healthy diet.

During Surgery

Our state-of-the-art facilities and experienced surgical team are dedicated to ensuring your comfort and safety throughout the procedure.

Anaesthesia

You will receive anaesthesia to ensure you are comfortable during the surgery. Options include general anaesthesia, which puts you to sleep, or regional anaesthesia, which numbs the arm area while allowing you to remain awake.

Surgical Process

The surgeon will make a small incision over the elbow to access the torn tendon. The tendon will be reattached to the bone at the biceps tuberosity and radial tuberosity using sutures or special anchors. Suture anchors are employed to securely reattach the tendon to the bone, providing a stable fixation. This precise process ensures the tendon heals correctly and restores normal arm function.

Monitoring and Recovery

Post-surgery, you will be monitored in a recovery area. Our care team will manage your pain and monitor your initial recovery to ensure everything is proceeding as expected.

After the surgery

Immediate Post-Op Care

Managing post-operative effects such as swelling, bruising, and discomfort is crucial. Our team will provide you with pain management strategies and detailed care instructions. Physical therapy is often recommended to help regain strength and flexibility in the arm.

Follow-Up Care and Physical Therapy

Regular follow-up appointments will be scheduled to monitor your recovery and assess the success of the surgery. These visits are essential to address any concerns and ensure optimal recovery.

Appointment and Treatment Plan

01

Initial Consultation

Your journey begins with a detailed consultation to discuss your goals and determine your suitability for distal biceps tendon repair

02

Personalised Treatment Plan

A tailored treatment plan will be developed based on your consultation, outlining the specifics of your procedure and recovery plan.

03

Pre-Procedure Assessment

A thorough pre-procedure assessment ensures you are fit for surgery, involving necessary tests to uphold the highest standards of care and safety.

04

The Procedure

Performed by our skilled medical team, the repair surgery will focus on achieving the best possible outcomes for your distal biceps tendon repair. Timely intervention for a torn biceps tendon is crucial to prevent complications such as muscle atrophy and scarring, which can complicate the repair process.

05

Aftercare and Recovery

Post-procedure, you will receive detailed aftercare instructions and have follow-up appointments to support your recovery and ensure the best results.

Top Tips

  • Stay Hydrated and Eat Healthily: Maintain a balanced diet and drink plenty of fluids to support your recovery and overall well-being.
  • Strengthen the Upper Arm: Incorporate exercises that focus on strengthening the upper arm during recovery. This helps restore movement and strength, particularly after biceps tendon injuries.
  • Care for the Distal Tendon: Pay special attention to the distal tendon during rehabilitation. Proper care and specific exercises can significantly influence the success of distal biceps tendon repairs.