# Distal Biceps Reconstruction With Achilles Tendon Allograft Using Transosseous Suture Fixation

## TL;DR

This paper presents a surgical technique for reconstructing the distal biceps using Achilles tendon allograft, restoring forearm function without specialized tools.

## Contribution

A novel, broadly applicable technique for distal biceps reconstruction using Achilles tendon allograft and transosseous fixation.

## Key findings

- The technique restores the anatomic distal biceps insertion.
- It provides consistent and robust supination strength across the range of motion.
- The method requires no specialized equipment, making it widely usable.

## Abstract

Given the biceps brachii muscle’s importance for upper-extremity function, particularly forearm supination strength and elbow flexion, operative treatment of distal biceps tendon ruptures is typically strongly considered. When primary tendon repair is not possible, multiple surgical techniques exist for reconstruction of the distal biceps insertion. These techniques vary in terms of both fixation options and graft choices. In this article, we describe a technique for distal biceps reconstruction using Achilles tendon allograft, secured to the radius via bone tunnels, that requires no specialized equipment and restores the anatomic distal biceps insertion. This technique is therefore broadly applicable and results in a consistent, robust reconstruction to restore forearm supination strength throughout the range of motion.