Repair of chronic distal biceps tendon ruptures: Indications and use of tendon grafts

Reconstruction of chronic distal biceps tendon ruptures is complicated by the substantial retraction and poor quality of the remaining muscle and tendon tissue. Several types of tendon grafts have been described to augment the repair and restore length including both allografts and autografts. To date, we have found the Achilles tendon allografts to be perhaps the most reliable and versatile graft to reconstruct the chronic distal biceps tendon rupture and, when required, it has provided satisfactory clinical results in this difficult clinical setting.