Anatomic 2-Incision Distal Biceps Technique Using Unicortical Buttons

Most patients with distal biceps tendon ruptures would benefit from surgical intervention, however, there has yet to be a clear consensus regarding the optimal technique and method of distal biceps fixation. Techniques can be broadly classified by approach—1-incision or 2-incision approach—and method of fixation—including options such as bone tunnel, cortical button, suture anchor, and interference screw fixation. In this article, we describe a technique for anatomic fixation of the distal biceps tendon, utilizing 2 looped sutures and 2 unicortical suture buttons. The described technique is performed through a muscle-splitting, 2-incision approach but can be performed through a 1-incision approach.