Distal Biceps Tendon Anatomical All-Suture Anchor Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Tendon Repair

Background:

• Distal biceps tendon tears often require surgical repair to restore elbow function.
• Conventional single-incision techniques may have limitations in achieving optimal tendon footprint and fixation.
• Anatomic reattachment is crucial for functional recovery and preventing re-tears.

Purpose of the Study:

• To describe a novel single-incision, onlay, double all-suture anchor technique for distal biceps tendon repair.
• To evaluate the technique's ability to achieve anatomic reattachment and optimize tendon-bone contact.
• To assess the security of fixation and potential for immediate postoperative motion.

Main Methods:

• A single-incision approach was utilized for distal biceps tendon repair.
• A double all-suture anchor construct was employed for tendon reattachment to the radial tuberosity.
• The technique focused on onlay placement for enhanced footprint restoration.

Main Results:

• The described technique allows for anatomic reattachment of the distal biceps tendon onto the ulnar aspect of the radial tuberosity.
• This method optimizes tendon footprint restoration and tendon-bone contact area compared to conventional techniques.
• The double anchor configuration provides secure fixation, enabling immediate postoperative motion and offering redundancy.

Conclusions:

• The single-incision, double all-suture anchor technique offers a secure and effective method for distal biceps tendon repair.
• This approach facilitates anatomic restoration and promotes early functional rehabilitation.
• The technique presents a valuable alternative for surgeons managing distal biceps tendon injuries.