Chronic Distal Biceps Tendon Tear Reconstruction With Tibialis Anterior Allograft

Raffy Mirzayan,Emily S Mills

doi:10.1016/j.eats.2021.04.017

Abstract

Chronic distal biceps tendon ruptures present a unique surgical challenge due to tendon retraction and shortening as well as muscle atrophy. Several graft choices and fixation methods have been described, with no one technique proving superior to date. We describe a technique wherein a tibialis anterior tendon allograft is Pulver-Taft weaved through the muscle belly to achieve incorporation with the muscle and tendonous fascia to achieve superior pull-out strength.

Highlights

Distal biceps tendon ruptures occur at a rate of 2.5 per 100,000 and result from eccentric overloading of the elbow in flexion.[1]
Several techniques have been described for distal biceps tendon reconstruction
A recent review and meta-analysis of these repairs showed no difference in complications between autograft and allograft tendon reconstruction.[13]

Summary

Introduction

Distal biceps tendon ruptures occur at a rate of 2.5 per 100,000 and result from eccentric overloading of the elbow in flexion.[1]. Several techniques have been described for distal biceps tendon reconstruction. A recent review and meta-analysis of these repairs showed no difference in complications between autograft and allograft tendon reconstruction.[13] the authors concluded that there is still no consensus on which graft and insertion technique is best. We present a technique using a tibialis anterior allograft and Pulver-Taft implantation method.

Results

Conclusion