All-Suture Suture Anchor Repair of an Acute, Isolated Distal Biceps Femoris Avulsion

Isolated avulsion of the distal biceps femoris tendon is a rare injury that typically occurs as the result of high-energy trauma and sports activities that involve rapid and forceful hyperextension knee movements. Although partial distal biceps femoris tendon tears in less-active individuals often can be managed nonoperatively, surgical repair is preferred for complete tendon tears in active patients and athletes who want to maintain a high level of functionality. A few methods have been proposed to address this pathology; however, a gold standard has yet to be defined. In this Technical Note, the authors describe a surgical technique for repair of an acute distal biceps femoris avulsion using knotted all-suture suture anchor fixation. Our surgical technique aims to restore the native anatomy while minimizing surgical morbidity and loss of function.