Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation

Given the biceps brachii muscle’s importance for upper-extremity function, particularly forearm supination strength and elbow flexion, operative treatment of distal biceps tendon ruptures is typically strongly considered. When primary tendon repair is not possible, multiple surgical techniques exist...

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Main Authors: Tyler R. Mange, M.D., Ryan S. Beyer, B.S., Misha H. Seifi, B.S., Tyler R. Johnston, M.D., M.S., Jesse D. Kaplan, M.D.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001136
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author Tyler R. Mange, M.D.
Ryan S. Beyer, B.S.
Misha H. Seifi, B.S.
Tyler R. Johnston, M.D., M.S.
Jesse D. Kaplan, M.D.
author_facet Tyler R. Mange, M.D.
Ryan S. Beyer, B.S.
Misha H. Seifi, B.S.
Tyler R. Johnston, M.D., M.S.
Jesse D. Kaplan, M.D.
author_sort Tyler R. Mange, M.D.
collection DOAJ
description Given the biceps brachii muscle’s importance for upper-extremity function, particularly forearm supination strength and elbow flexion, operative treatment of distal biceps tendon ruptures is typically strongly considered. When primary tendon repair is not possible, multiple surgical techniques exist for reconstruction of the distal biceps insertion. These techniques vary in terms of both fixation options and graft choices. In this article, we describe a technique for distal biceps reconstruction using Achilles tendon allograft, secured to the radius via bone tunnels, that requires no specialized equipment and restores the anatomic distal biceps insertion. This technique is therefore broadly applicable and results in a consistent, robust reconstruction to restore forearm supination strength throughout the range of motion.
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publishDate 2025-06-01
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series Arthroscopy Techniques
spelling doaj-art-ae70bbb7e4c44b3691b23ccfb35c4e412025-08-20T02:35:34ZengElsevierArthroscopy Techniques2212-62872025-06-0114610354410.1016/j.eats.2025.103544Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture FixationTyler R. Mange, M.D.0Ryan S. Beyer, B.S.1Misha H. Seifi, B.S.2Tyler R. Johnston, M.D., M.S.3Jesse D. Kaplan, M.D.4Address correspondence to Tyler R. Mange, M.D., Department of Orthopaedic Surgery, University of California Irvine, 101 The City Dr S, Pavilion III, Second Floor, Orange, CA 92868, U.S.A.; From the Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.From the Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.From the Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.From the Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.From the Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.Given the biceps brachii muscle’s importance for upper-extremity function, particularly forearm supination strength and elbow flexion, operative treatment of distal biceps tendon ruptures is typically strongly considered. When primary tendon repair is not possible, multiple surgical techniques exist for reconstruction of the distal biceps insertion. These techniques vary in terms of both fixation options and graft choices. In this article, we describe a technique for distal biceps reconstruction using Achilles tendon allograft, secured to the radius via bone tunnels, that requires no specialized equipment and restores the anatomic distal biceps insertion. This technique is therefore broadly applicable and results in a consistent, robust reconstruction to restore forearm supination strength throughout the range of motion.http://www.sciencedirect.com/science/article/pii/S2212628725001136
spellingShingle Tyler R. Mange, M.D.
Ryan S. Beyer, B.S.
Misha H. Seifi, B.S.
Tyler R. Johnston, M.D., M.S.
Jesse D. Kaplan, M.D.
Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
Arthroscopy Techniques
title Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
title_full Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
title_fullStr Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
title_full_unstemmed Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
title_short Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation
title_sort distal biceps reconstruction with achilles tendon allograft using transosseous suture fixation
url http://www.sciencedirect.com/science/article/pii/S2212628725001136
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