Dual-Incision Distal Biceps Repair Using Transosseous Technique and Cortical Fixation Button.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Anatomy

Background:

• Distal biceps tendon tears are common injuries.
• Current repair techniques include single and dual-incision methods.
• Dual-incision approaches offer an anatomic footprint and minimize nerve complications.

Purpose of the Study:

• To describe a novel double-fixation technique for distal biceps tendon repair.
• To evaluate the feasibility of combining cortical button and transosseous fixation.

Main Methods:

• A dual-incision technique was utilized in a cadaveric model.
• Distal biceps tendon fixation was performed using both a cortical button and a transosseous suture technique.
• The double-fixation construct was assessed for stability and feasibility.

Main Results:

• The described double-fixation technique was successfully demonstrated in a cadaveric model.
• This method provides robust fixation for distal biceps tendon tears.
• The cortical button component offers advantages in osteopenic bone or during tuberoplasty.

Conclusions:

• A dual-fixation technique combining cortical button and transosseous methods offers a viable option for distal biceps tendon repair.
• This technique is suitable for both primary and revision surgeries.
• The double-fixation approach enhances construct stability and addresses specific patient factors like osteopenia.