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Rogalski, Brandon, Kane, Liam, Vaughan, Alayna, Tzeuton, Serge, Namdari, Surena, Getz, Charles. (1404). Outpatient versus At-Home Physical Therapy Following Distal Biceps Repair. , 13(7), 420-425. doi: 10.22038/abjs.2025.81641.3717
Brandon L. Rogalski; Liam T. Kane; Alayna Vaughan; Serge Tzeuton; Surena Namdari; Charles L. Getz. "Outpatient versus At-Home Physical Therapy Following Distal Biceps Repair". , 13, 7, 1404, 420-425. doi: 10.22038/abjs.2025.81641.3717
Rogalski, Brandon, Kane, Liam, Vaughan, Alayna, Tzeuton, Serge, Namdari, Surena, Getz, Charles. (1404). 'Outpatient versus At-Home Physical Therapy Following Distal Biceps Repair', , 13(7), pp. 420-425. doi: 10.22038/abjs.2025.81641.3717
Rogalski, Brandon, Kane, Liam, Vaughan, Alayna, Tzeuton, Serge, Namdari, Surena, Getz, Charles. Outpatient versus At-Home Physical Therapy Following Distal Biceps Repair. , 1404; 13(7): 420-425. doi: 10.22038/abjs.2025.81641.3717

Outpatient versus At-Home Physical Therapy Following Distal Biceps Repair

The Archives of Bone and Joint Surgery
مقاله 5، دوره 13، شماره 7، مهر 2025، صفحه 420-425    اصل مقاله (647.09 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2025.81641.3717
نویسندگان
Brandon L. Rogalski؛ Liam T. Kane* ؛ Alayna Vaughan؛ Serge Tzeuton؛ Surena Namdari؛ Charles L. Getz
Rothman Orthopaedic Institute, Thomas Jefferson University Hospitals, Philadelphia, PA, USA
چکیده
Objectives: Distal biceps repair is a common orthopedic procedure, but there is still debate regarding 
the optimal post-operative care for patients. The purpose of this study is to assess the efficacy of athome physical therapy compared to outpatient physical therapy following distal biceps tendon r epair.
Methods: A retrospective review of distal biceps repairs performed between 2012 and 2017 by four fellowshiptrained orthopedic surgeons at one institution was undertaken. Patients were grouped into outpatient physical 
therapy and at-home therapy groups. Exclusion criteria included any patients who did not undergo a direct repair of 
the distal biceps and cases in which allograft augmentation was utilized. Postoperative complications were identified 
by manual chart review. After a minimum of three years follow-up, demographic information as well as elbow 
functional outcome scores including the Quick Dash, Mayo Elbow Performance Index, and Oxford Elbow Scores 
were obtained via phone calls and online surveys.
Results: One hundred and forty-six patients were included in this study at a mean follow-up of 6.3 years for patients 
who attended outpatient physical therapy and 5.9 years for patients who performed an at-home therapy program. 
There were twenty-eight patients in the at-home physical therapy group and one hundred eighteen patients in the 
outpatient physical therapy group. There were two complications: one re-ruptured distal biceps tendon requiring a 
revision surgery in the at-home patient cohort, and one post-operative posterior interosseous nerve palsy that 
recovered after 6 months in the outpatient rehabilitation group. We found there was no significant difference between 
the two groups for any of the three functional elbow scores.
Conclusion: Patients undergoing routine distal biceps repair may achieve similar clinical outcomes with a 
regimented at-home physical therapy protocol in lieu of formal outpatient physical therapy.
 Level of evidence: IV
کلیدواژه‌ها
At-home therapy؛ Distal biceps repair؛ Distal biceps rupture؛ Outpatient therapy؛ Physical therapy
مراجع
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