Abstract
Distal biceps tendon rupture is commonly repaired via bicortical drilling, extramedullary cortical button placement, and inlay tendon fixation. A retensionable technique with unicortical drilling, intramedullary knotless all-suture anchors placement, and onlay tendon fixation is presented, incorporating up-to-date advances in tendon-bone healing basic science, biceps tendon/radial tuberosity biomechanics, and knotless all-suture implant technology to facilitate radial tuberosity bone preservation, anatomic footprint restoration, improved suture-tendon connection security, and avoidance of drilling and implant-related injury to the posterior interosseous nerve.