This technique demonstrates functional recovery in patients with chronic distal biceps ruptures, suggesting an effective surgical approach.
Ruptures of the distal head of the biceps are quite common and are a consequence of eccentric load. Chronic lesions are defined as treated after 4 weeks from injury. Treatment of chronic lesions is challenging and typically requires a tendon graft due to proximal stump retraction and degeneration. We propose a new reconstruction technique using a Flexor Carpi Radialis (FCR) autograft reinforced with a Palmaris Longus (PL) autograft and fixed to the radial tuberosity with an Endobutton. We applied this technique in 6 patients with excellent functional outcomes. No major complications were observed and no morbidity or functional limitations were noticed at the harvest sites.
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Greco et al. (2026) studied this question.
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