Clinical OutcomesDistal Biceps Tendon Ruptures: Acute Repair Versus Chronic Reconstruction Using the “Anatomic Length Method” and Concomitant Bicipital Aponeurosis Repair: A Group-matched Comparative Retrospective StudyAlbishi, Waleed MBBS, MD, MSc, FRCSC*; Lam, Jason J. MD, MSc†; Agenor, Aouod MD†; Elmaraghy, Amr MD, FRCSC†,‡Author Information *Department of Orthopaedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia †Department of Orthopaedic Surgery, University of Toronto ‡St Joseph’s Health Centre, Toronto, ON, Canada The authors declare no conflict of interest. Reprints: Jason J. Lam, MD, MSc, St Joseph’s Health Centre, 500 University Avenue #602, Toronto, ON M5G 1V7, Canada (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: December 2020 - Volume 21 - Issue 4 - p 97-100 doi: 10.1097/BTE.0000000000000203 Buy Metrics Abstract Chronic disruption of the distal biceps tendon is a challenging problem and can lead to considerable disability. We conducted a group-matched retrospective study comparing clinical outcomes of chronic distal biceps reconstruction using our previously described “Anatomic Length Method” and those with an acute distal rupture and primary repair. Forty-six patients were included into the analysis; 23 underwent acute distal biceps repair, and 23 underwent chronic distal biceps reconstruction. Demographic and surgical data were reviewed retrospectively. Patients were evaluated and clinical outcome measures were obtained at least 1 year after surgical treatment. There were no significant differences in Patient-Rated Elbow Evaluation scores (6.0 vs. 4.4, respectively; P=0.53) and biceps shape contour satisfaction (19/19 vs. 6/7, respectively; P=0.093). No significant difference emerged in complication rates. This study suggests that chronic reconstruction of the distal biceps tendon using the “Anatomic Length Method” is a safe technique that produces similar clinical results to acute distal biceps primary repair. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.