title: The double intramedullary cortical button fixation for distal biceps tendon repair.
abstract: OBJECTIVE
  This study was designed to present the novel technique of intramedullary cortical button fixation for distal biceps tendon repair via a single-limited anterior portal.
  
  
  METHODS
  To reattach the ruptured biceps tendon at the radial tuberosity, two Bicepsbutton(™) (Arthrex, Naples, FL, USA) were intramedullary positioned to the anterior cortex. The surgical procedure is described in detail. This technique has been performed in a first series of 3 patients with acute distal biceps tendon ruptures.
  
  
  RESULTS
  All patients were very satisfied after surgery and would undergo the same surgical procedure again. All patients regained full range of elbow motion with comparable strength of forearm supination and elbow flexion measured against the uninjured arm at 6 months of follow-up. No neurovascular complications have been occured.
  
  
  CONCLUSIONS
  Double intramedullary cortical button repair has shown to be a safe and reliable fixation method for distal biceps tendon rupture in a small series of patients. Preliminary results are encouraging.
authors.affiliation: Department of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Ismaningerstr. 22, 81675 Munich, Germany. siebenlist@uchir.me.tum.de
authors.forename: Sebastian
authors.initials: S
authors.lastname: Siebenlist
authors.forename: Florian
authors.initials: F
authors.lastname: Elser
authors.forename: Gunther H
authors.initials: GH
authors.lastname: Sandmann
authors.forename: Arne
authors.initials: A
authors.lastname: Buchholz
authors.forename: Frank
authors.initials: F
authors.lastname: Martetschläger
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stöckle
authors.forename: Andreas
authors.initials: A
authors.lastname: Lenich
mesh_terms: D000328:Adult; D004551:Elbow Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D053656:Tenodesis / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome