Purpose
To evaluate what factors are important in the patients' preference and their perception
of a successful surgical outcome.
Methods
A biceps-specific questionnaire was developed using a series of questions assessing
current symptoms, previous knowledge of biceps tendon surgery, surgical outcome priorities,
and patient demographics and administered to 100 patients with proximal biceps pathology
after approval by the Institutional Review Board. The patients were asked which surgery
they would prefer. A set of χ2 tests were used to test the association between categorical variables. All tests
were 2-sided and considered significant at P < .05.
Results
A total of 100 patients enrolled in the study, with 49 female and 51 male patients
at an average age of 49 years (range, 19 to 79 years). Of the 100 patients, 64 (64%)
chose to have biceps tenodesis. Factors predictive of choosing a biceps tenodesis
included female sex, and concern of cosmetic deformity and residual postoperative
pain with a tenotomy (P < .05). Factors predictive of choosing a tenotomy included male sex, high level of
current biciptal groove pain, and concerns regarding the use of additional hardware
and longer recovery with a tenodesis (P < .05). Age, body mass index, occupation, income level, and concerns regarding postoperative
strength and muscle cramping were not found to have a significant predictive effect
toward either procedure.
Conclusions
Patient age should not be used as the sole criterion when deciding between biceps
tenotomy and tenodesis. Our results can be consolidated to 5 predictive, reliable
questions that will assist orthopaedic surgeons in making individualized patient-specific
decisions regarding proximal biceps tendon surgery by emphasizing what factors are
most important to patients for a successful surgical outcome.
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Article Info
Publication History
Published online: June 16, 2016
Accepted:
April 19,
2016
Received:
February 23,
2015
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2016 by the Arthroscopy Association of North America
