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Late Reconstruction of Chronic Distal Biceps Tendon Ruptures Using Fascia Lata Autograft and Suture Anchor Fixation

Morrell, Nathan T. MD; Mercer, Deana M. MD; Moneim, Moheb S. MD

Techniques in Hand & Upper Extremity Surgery: September 2012 - Volume 16 - Issue 3 - p 141–144
doi: 10.1097/BTH.0b013e318258e358

Distal biceps tendon ruptures are a rare injury, and surgical reconstruction is typically recommended for chronic ruptures. There is no consensus regarding the most appropriate reconstruction technique. We present our experience with reconstruction of chronic distal biceps tendon ruptures with fascia lata autograft, secured to the bicipital tuberosity with suture anchors. A single anterior incision is used for all patients. Tension is set with the elbow in 50 degrees of flexion. Ninety-two percent of our patients reported improvement in elbow flexion and supination and were pleased with the surgery. Range of motion and isokinetic flexion and supination strength after this procedure was comparable with other distal biceps tendon reconstruction options using tendon grafts and suture anchor fixation from a single anterior approach. Furthermore, common complications associated with distal biceps tendon repair and reconstruction can be avoided with this technique. We therefore feel that this technique is a viable surgical treatment alternative with good subjective and objective outcomes.

Level of Evidence: Level IV.

Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM

Investigation performed at the Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Nathan T. Morrell, MD, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.