Indications:
1. Complete tears of the distal biceps tendon
2. Incomplete tears with significant weakness or pain
3. Failed non-surgical treatment
4. Acute injuries with significant retraction of the tendon
Surgical Techniques:
1. Single-incision technique: One incision in the front of the elbow
2. Double-incision technique: Two incisions, one in the front and one in the back of the elbow
3. Endoscopic technique: Minimally invasive, using a camera and small incisions
Procedure:
1. Exposure of the tendon and surrounding tissues
2. Debridement of damaged tissue
3. Reattachment of the tendon to the radius bone
4. Use of sutures, anchors, or other fixation devices
5. Closure of the incision(s)
Post-Surgical Care:
1. Immobilization in a splint or cast
2. Pain management with medication
3. Gradual increase in range of motion and strengthening exercises
4. Physical therapy to improve mobility and strength
5. Follow-up appointments to monitor progress
Risks and Complications:
1. Infection
2. Nerve or blood vessel damage
3. Tendon re-rupture
4. Elbow stiffness or limited mobility
5. Reaction to anesthesia
Recovery Time:
1. Immediate post-surgical recovery: 1-2 weeks
2. Return to light activities: 6-8 weeks
3. Return to heavy activities or sports: 3-6 months
4. Full recovery: 6-12 months
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