- Two incision approach
First skin incision
Make a 4 cm transverse incision in the antecubital crease.
Identification of the tendon
Identify the biceps tendon and bring it out of the wound.
The tendon is debrided.
Insert two Nr. 5 nonabsorbable sutures into the tendon, using a crisscrossed locking stitch.
Prepare tunnel for tendon reattachment
Introduce a clamp into the biceps tendon tunnel opposed to the bicipital tuberosity and between the radius and ulna. Advance the clamp until it reaches the skin of the dorsal aspect of the forearm.
Incise the skin over the clamp.
Through the posterior incision, split the common extensor and supinator muscles exposing the bicipital tuberosity of the radius.