Interference screw with Cortical button for distal biceps repair.

The management of distal biceps tendon ruptures has been the source of considerable research over the last decade. Many of the techniques used to secure tendon to bone have been applied to the distal biceps tendon. These include suture anchors, Cortical button, and more recently interference screw fixation. The current account describes a technique that repairs the distal biceps with combined interference screw and Cortical button fixation through a single incision, which permits immediate active postoperative motion for early return to activity and a decrease in postoperative stiffness or heterotopic ossification. The presented technique offers the surgeon many new options in treatment of these injuries and emphasizes biologic, anatomic, and biomechanical principles of tendon healing.