Staged Achilles Allograft Reconstruction of Chronic Bilateral Simultaneous Tears of the Retracted Distal Biceps Tendon Using a Novel Fixation Technique

Bilateral simultaneous rupture of distal biceps tendons is an extremely rare clinical entity that can result in significant morbidity for an active person if not addressed appropriately. Treatment becomes more complicated in a delayed presentation as the tendon retracts and scars to the adjacent tissues, thus precluding a primary tendon-to-bone repair. The present study is a case report of an active male with a two-month-old simultaneous rupture of both distal biceps tendons managed by Achilles allograft reconstruction and double cortical-button fixation technique that provided a satisfactory functional outcome.