Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation

Area of Science:

• Orthopedic Surgery
• Musculoskeletal Research
• Sports Medicine

Background:

• Distal biceps tendon ruptures significantly impair upper-extremity function, particularly forearm supination and elbow flexion.
• Operative treatment is often recommended, with various reconstruction techniques available when primary repair fails.

Purpose of the Study:

• To describe a novel and broadly applicable technique for distal biceps reconstruction.
• To restore the anatomic insertion of the distal biceps tendon using readily available materials.

Main Methods:

• A distal biceps reconstruction technique utilizing Achilles tendon allograft.
• Graft fixation to the radius through bone tunnels, requiring no specialized equipment.
• Focus on restoring the anatomic footprint of the distal biceps insertion.

Main Results:

• The described technique provides a consistent and robust reconstruction.
• It effectively restores forearm supination strength throughout the full range of motion.
• The method is broadly applicable due to its simplicity and lack of specialized equipment requirements.

Conclusions:

• This Achilles tendon allograft reconstruction technique offers a reliable solution for distal biceps insertion restoration.
• It addresses the limitations of existing methods by providing a robust and anatomically accurate repair.
• The technique is suitable for a wide range of patients needing to regain forearm supination strength.