Anatomical Repair of the Distal Biceps Tendon Using the Tension-Slide Technique

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Rupture of the distal biceps brachii tendon has received significant attention in the recent literature as a result of increased incidence, improvements in diagnosis, and the numerous methods of fixation. The current controversies that surround distal biceps repair include the following: single versus dual incision, anatomical footprint restoration versus nonanatomical repair, type of fixation, and the amount of restriction on early range of motion. We describe a modified cortical button repair, the tension-slide technique, which allows for a transverse anterior incision and the ability to tension the repair through the anterior incision. There is no need to pre-determine the length of suture between the button and the biceps, no suture diastasis between button and tendon, and eliminates the technical concern regarding the button flipping.

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