Elbow function after repair of the distal biceps brachii tendon with a two-incision approach

A modified Boyd-Anderson 2-incision approach is commonly used to repair the distal biceps tendon after avulsion from the radial tuberosity. Using suture anchors for fixation instead of a bone trough simplifies the procedure. This retrospective study enrolled 32 patients who underwent surgical repair of the distal biceps tendon with a 2-incision approach and 2 suture anchors. The mean postoperative follow-up was 42 months. Elbow strength, endurance, and range of motion for flexion, pronation, and supination were measured for each arm. For each strength and endurance measurement, the mean for the involved arm was at least 95% of that for the uninvolved arms. The largest flexion, pronation, and supination deficits for an injured arm, as compared with the uninjured arm, were 9°, 15°, and 16°, respectively. A 2-incision approach for distal biceps tendon repair with suture anchor fixation can restore elbow function and satisfy patients.