Distal biceps tendon avulsion requires surgical treatment but is uncommon. The average orthopedic surgeon will come across a case only occasionally. The two-incision technique of Boyd is technically difficult. One-incision methods are easier for the occasional surgeon. Methods using Mitek Bone Anchors and Endobuttons have been described in the literature. This presentation compares those techniques and a technique using anterior cruciate interference screws against the Two Incision Technique in a model consisting of sheep bone and sash cord.

The models were then tested on a dynamometer to failure to assess the ultimate strength of the various methods of fixation. In this model Mitek Anchors and Endobuttons gave comparable fail points to the two Incision Technique. The Interference Screw Technique was stronger.