[Technique of distal biceps tendon repair using a limited anterior approach]

From May 1999 to November 2001 an anatomical attachment of a ruptured distal biceps tendon to the radial tuberosity was performed through a limited anterior approach in 8 male patients with an age of 37 to 47 years. Through a small incision in the cubital fossa (3-4 cm) the remaining synovial sheet of the biceps tendon was followed to insert absorbable anchor hooks into the radial tuberosity. The distal biceps tendon then was anatomically reattached. Instruments for arthroscopic Bankart-repair were used. There were no specific complications like neurovascular damage or significant functional impairment. The contour of the biceps muscle was restored in all cases. 3 out of 7 patients developed mild heterotopic ossifications without functional deficits. In our experience the presented technique is a possible minimal invasive procedure of distal biceps tendon repair without major complications and with good functional results.