Distal Biceps Repair With Acellular Dermal Graft Augmentation

Ruptures of the distal bicep brachii tendon are typically treated surgically as a result of modern surgical fixation techniques, low complication rates, and in an attempt to avoid loss of flexion and supination strength. Most of the ruptures may be fixed primarily. On occasion, the tendon may be thinned, or may not have the elasticity to allow direct repair to the radial tuberosity. We describe a technique using acellular dermal allograft to augment distal biceps ruptures in such cases.