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Is trephination or surgery suitable to treat biceps tendon tear at the elbow?

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Posted on Fri, 30 Sep 2016
Question: I have recently seen an orthopedic surgeon regarding a torn tendon in my right elbow. I have had this problem for about 6 years. Cortisone injections have been done. He suggest I do Trephination on my elbow and then, if that doesn't work, he will do surgery on my elbow. I am wondering if I should just go straight for surgery? Trephination vs. surgery is basically what I would like your opinion on.

Thank you so much - XXXX
doctor
Answered by Dr. Suresh Heijebu (5 hours later)
Brief Answer:
Open surgical repair is advisable

Detailed Answer:
Hello, Sir

I can certainly understand your concern.

I have worked through your query in detail.

Torn tendon of elbow is best treated with open surgical repair .

Trephination might not always yield successful results.

Post your further queries if any.
Thank you
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Suresh Heijebu (4 hours later)
Why? Can you tell me why you suggest surgery? Have you had any experience with Trephination yourself?? I would appreciate a more detailed answer, if possible.

thank you - XXXX

I ask because my current orthopedic surgeon said that percentages are higher for success with Trephination vs. surgery. Do you not agree??

- XXXX
doctor
Answered by Dr. Suresh Heijebu (2 days later)
Brief Answer:
Surgery is more preferable

Detailed Answer:
Hello, Sir

I have researched on your query for sometime.

According to this , trephination even though a recent procedure, the success rates are not quite well established.

Surgery always carries a better outcome due to direct supervision.

Hence in my view, both procedures are effective but open surgery is more advisable.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3659 Questions

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Is trephination or surgery suitable to treat biceps tendon tear at the elbow?

Brief Answer: Open surgical repair is advisable Detailed Answer: Hello, Sir I can certainly understand your concern. I have worked through your query in detail. Torn tendon of elbow is best treated with open surgical repair . Trephination might not always yield successful results. Post your further queries if any. Thank you