Arthroscopic, mini-open biceps tenodesis may yield similar long-term outcomes
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Key takeaways:
- Arthroscopic biceps tenodesis had similar clinical outcomes at 2 years as mini-open biceps tenodesis.
- All arthroscopic and mini-open biceps tenodesis procedures were measured intact on ultrasound at 2 years.
LAS VEGAS — Arthroscopic inlay suprapectoral biceps tenodesis may yield similar long-term outcomes compared with mini-open onlay subpectoral biceps tenodesis in patients with biceps tendinopathy, according to results presented here.
“Are onlay techniques equivalent to inlay techniques based on the results of the study? I think the answer is yes, so I think we can all feel comfortable at proceeding with our procedure of choice and feeling good about our patients’ outcomes,” Stephen F. Brockmeier, MD, FAAOS, professor of orthopedic surgery at the University of Virginia, said in his presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.
Brockmeier and colleagues randomly assigned patients with biceps tendinopathy to undergo either a mini-open onlay subpectoral biceps tenodesis (n=30) or an arthroscopic inlay suprapectoral biceps tenodesis (n=29). Researchers collected clinical outcome measures at baseline and at 3 and 24 months postoperatively, as well as integrity of the repair at 3 and 24 months postoperatively.
Results showed patients in the mini-open group and the arthroscopic group had similar clinical outcomes at baseline and 3 and 24 months postoperatively.
“You can note at 3 months a slight trend, but it was not clinically significant, of improved clinical outcomes in the mini-open group when compared to the arthroscopic group,” Brockmeier said. “Interestingly, that reversed by the end and became not statistically significant, but there was a slight difference between those groups.”
Brockmeier noted 23 of 24 patients in the arthroscopic group and 26 of 28 patients in the mini-open group measured as intact on ultrasound at 3 months postoperatively.
“Interestingly at 2 years, all arthroscopic and all mini-open [cases], including the three that were measured as questionable on the first go-around, were found to be intact and the three patients who were questionable did not exhibit clinical findings consistent with biceps tenodesis rupture,” Brockmeier said.
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Brockmeier SF, et al. Paper 238. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting. March 7-11, 2023; Las Vegas.
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