Reinsertion of the acutely ruptured distal biceps is the preferred method of treatment for most patients and is designed to restore flexion and supination strength. Many techniques and fixation devices have been described, but in the literature, there are no clinical evidences that show the superiority of any of these. Several fixation techniques exist to repair the distal biceps brachii tendon. We aimed to evaluate the clinical and functional outcomes after distal biceps tendon repair using different fixation techniques. A total of 74 patients were included in the study and were available for follow-up. The patients were evaluated with range of motion (ROM) measurements for fiection/extension and pronation/supination as well as Disabilities of Arm Shoulder and Hand (DASH) scores. Furthermore, the duration of surgery and the length of hospital stay as well as the complication rate were analyzed. The obtained results showed that standard surgical techniques of biceps shoulder distal tendon restoration due to the imperfection of individual elements do not allow restoring the damaged tendon in the shortest possible time with the least number of complications and lead to unjustifiably extended periods of disability. The average size (SD) of an incision is 9.5 cm (3.9 cm) and the maximum is 18 cm. The median (interfluential range) of the duration of the operation is 60 minutes (40 to 75 minutes). The median for plaster bandage removal is 6 weeks (from 4 to 6 weeks). All this is a complex of problems that need to be optimized in order to improve the effectiveness of treatment of patients.
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