A procedure to reattach the torn distal biceps tendon to the bone to restore elbow function.
Through an incision at the front of the elbow, the ruptured biceps tendon is retrieved and reattached to its normal attachment point on the forearm bone using sutures and small anchors or a button-style fixation. The procedure typically takes one to two hours and is usually day surgery.
Diagnosis is usually clinical, supported by an MRI to confirm the tendon has torn and assess how much it has retracted. Because timing affects the ease and success of repair, assessment and surgery are generally arranged promptly after a suspected rupture. Standard preoperative steps apply otherwise.
A hinged brace is typically worn for several weeks, initially limiting how far the elbow can straighten to protect the repair. Physiotherapy begins early within these protected limits, with the brace gradually adjusted to allow more movement as healing progresses. Full recovery generally takes several months.
Early rehabilitation focuses on protected range of motion within the limits set by the brace, avoiding forceful straightening or lifting that would strain the repair. Strengthening is introduced progressively over subsequent months, guided by the surgeon and physiotherapist, with heavy lifting typically delayed until the repair is well healed.
Risks include infection, re-rupture of the repair, and irritation or injury to the nerves that run close to the repair site, which can cause temporary or, rarely, lasting numbness or weakness. Some patients experience a degree of persistent stiffness or reduced forearm rotation.
The aim is to restore the strength of elbow flexion and forearm rotation that is lost when this tendon ruptures. Most patients regain good functional strength, particularly when repair is performed relatively soon after the injury, as delayed repair can be more technically challenging.
Distal biceps tendon repair reattaches a ruptured tendon to restore elbow strength, particularly the ability to rotate the forearm and bend the elbow against resistance. Most patients, especially those who proceed to surgery promptly after the injury, regain good functional strength.
