Introduction: We present a single-surgeon series of 14 acute ruptured distal biceps tendons repaired using a biotenodesis screw through a single anterior incision.
Patients: The demographics of this population reveal a typical injury pattern and reflect the preponderance of distal biceps ruptures in the middle aged, active male. Goniometric post-operative assessment of flexion, pronation and supination range demonstrates excellent clinical function in these patients.
Method: Subjective analysis is afforded by DASH and MEPS scoring at the 6-month follow-up.
Results: The results are discussed in relation to previous studies utilising disparate repair methods. This is the first prospective clinical series to be reported using this combination of fixation and approach. Clinical and patient assessed functions are excellent and complications are minimal.
Conclusion: This is a safe and successful technique for the management of distal biceps tendon ruptures.