Distal triceps tendon ruptures are an uncommon tendon injury. When surgical treatment is indicated, transosseous cruciate repair techniques have been the most commonly employed. This technique repairs the triceps to the olecranon with a narrow line of insertion, which may limit the surface area for healing and delay postoperative rehabilitation and recovery. We present an anatomic repair technique that has been shown in the laboratory both to maximally cover the distal triceps insertion footprint site and to be biomechanically stronger and more durable under cyclic load. This repair potentially permits earlier mobilization of the elbow after surgery while maintaining the integrity of the repair site.