Enhance your skills in anatomic reconstruction of the distal biceps tendon, a surgical procedure aimed at restoring muscle function after tendon detachment. This training details the technique using the TightRope device, focusing on preoperative planning, identification of critical neurovascular structures, precise preparation of the tendon and bone tunnel, and reinsertion for optimal aesthetic and functional outcomes.

Training Focus:

• Anatomic reconstruction of the distal biceps tendon at the radial tuberosity.
• Use of the TightRope device.
• Minimally invasive approach and preservation of anatomical structures.
• Surgical access planning and identification of neurovascular structures.
• Tendon preparation and bone tunnel creation.

Detailed Content:

• Surgical Planning and Access: Radiographic identification of the radial tuberosity using a fluoroscope. Skin marking with a dermographic pen. Fascia opening without injuring the musculature, with rigorous hemostasis and without a tourniquet.
• Neurovascular Dissection and Protection: Dissection of the brachioradialis muscle following the fiber direction. Ligation of the recurrent radial artery branch. Careful identification and retraction of the deep branch of the radial nerve.
• Preparation of Bone and Tendon Site: Identification of the radial tuberosity and tendon remnant. Manual placement of retractors. Cortical drilling with guidewire and bit according to tendon thickness. Remodeling of the distal end of the tendon and cleaning of the insertion site.
• Suturing and Fixation with TightRope: Braided stitch with FiberLoop. Determination of drill diameter (7mm). Passage of the endo-button with care to avoid compression of soft tissues. Progressive introduction of the tendon into the tunnel and knot tightening with proper approximation.
• Verification and Closure: Anatomic positioning assessment with radiograph. Attention to proper tunnel creation. Preservation of musculature and neurological structures. Anatomic fascia closure and aesthetic intradermal skin suturing.

Included Material:

• Detailed Procedure PDF: A comprehensive didactic document outlining each step of the anatomic reconstruction of the distal biceps tendon using TightRope. Includes preoperative planning, surgical access, neurovascular identification and protection, bone and tendon site preparation, tendon suturing and fixation, as well as final verification and closure.

Enhance your skills in elbow and shoulder surgery. Enroll now and master distal biceps tendon reconstruction techniques to ensure functional restoration and superior aesthetic outcomes for your patients.