Distal biceps tendon repair using the toggle loc with zip loop

This article introduces the Toggle Loc with Zip Loop as a fixation technique for a single-incision distal biceps tendon repair. The ease with which the Toggle Loc can be attached to the ruptured tendon is a distinct advantage of this technique. Because the suture loops (Zip Loop) can be shortened after the tendon is sutured over it, the surgeon can attach the implant to the tendon away from the wound. The implant can then be inserted and seated on the dorsal cortex of the radius prior to final tendon reinsertion and tensioning of the repair. This allows for a technically easier reinsertion while maintaining appropriate elbow flexion and rotation.