Acute bicep repair has been associated with better postoperative range of motion, especially in elbow flexion and forearm supination.
Chronic bicep repairs may yield inferior results in terms of strength recovery when compared to acute repairs.
There is no significant difference in postoperative infection rates between the two Distal bicep repair approaches.
Patients undergoing acute Distal bicep repair generally have a smoother and quicker postoperative rehabilitation course.
Rehabilitation following chronic repair may be prolonged due to complications such as reduced tendon elasticity and muscle contractures.
Acute repair generally proves to be more cost-effective, mainly due to shorter rehabilitation periods and fewer complications.
While both acute and chronic repair of distal bicep tendon tears aim to restore function and alleviate symptoms, the available evidence suggests that acute repair often yields better outcomes in terms of range of motion, strength recovery, and overall cost-effectiveness.
Tendon grafts harvested from the patient themselves have shown excellent results in distal bicep tendon reconstruction.
Tendon grafts from cadavers are also an option, but risk of graft rejection and disease transmission should be considered.
The risk of postoperative infection is generally low but remains a significant concern.
Early mobilization post-reconstruction is generally recommended to improve range of motion.
Ongoing physical therapy is crucial for strength recovery and return to pre-injury function.
Considering the long-term benefits of successful reconstruction, most studies indicate that the procedure is cost-effective, particularly when using autografts.
Distal bicep tendon reconstruction is a promising intervention for treating both acute and chronic tendon ruptures. Surgical technique, graft choice, and postoperative rehabilitation play vital roles in determining the procedure’s success. Evidence from prospective randomized controlled studies supports the efficacy of the procedure, while also shedding light on potential complications and rehabilitation strategies.