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Postoperative anteroposterior (A) and lateral (B) radiographs of the left elbow obtained 7 months after Achilles tendon allograft reconstruction (October 2025), demonstrating stable <t>cortical</t> <t>button</t> <t>fixation</t> at the radial tuberosity without evidence of hardware migration, heterotopic ossification, radioulnar synostosis, or other fixation-related complications.
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(A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a <t>transosseous</t> EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.
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(A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a <t>transosseous</t> EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.
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(A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a <t>transosseous</t> EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.
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Image Search Results


Postoperative anteroposterior (A) and lateral (B) radiographs of the left elbow obtained 7 months after Achilles tendon allograft reconstruction (October 2025), demonstrating stable cortical button fixation at the radial tuberosity without evidence of hardware migration, heterotopic ossification, radioulnar synostosis, or other fixation-related complications.

Journal: Journal of Surgical Case Reports

Article Title: Two-year delayed reconstruction of chronic distal biceps tendon rupture with allograft: a case report

doi: 10.1093/jscr/rjag211

Figure Lengend Snippet: Postoperative anteroposterior (A) and lateral (B) radiographs of the left elbow obtained 7 months after Achilles tendon allograft reconstruction (October 2025), demonstrating stable cortical button fixation at the radial tuberosity without evidence of hardware migration, heterotopic ossification, radioulnar synostosis, or other fixation-related complications.

Article Snippet: Surgical reconstruction was performed using an Achilles tendon allograft secured proximally with a Pulvertaft weave and distally with a cortical button fixation device (EndoButtonTM, Smith & Nephew, Memphis, TN, USA) following preparation and tensioning of the graft.

Techniques: Migration

(A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a transosseous EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.

Journal: Journal of Surgical Case Reports

Article Title: Two-year delayed reconstruction of chronic distal biceps tendon rupture with allograft: a case report

doi: 10.1093/jscr/rjag211

Figure Lengend Snippet: (A) Intraoperative image showing the Achilles tendon allograft weaved into the retracted biceps muscle belly using a Pulvertaft technique through a single anterior approach. The prepared graft length was approximately 15 cm. (B). Distal fixation of the allograft into the radial tuberosity using a transosseous EndoButton following tensioning with the elbow positioned at 90° flexion and 50° supination.

Article Snippet: Distally, a 4.5-mm tunnel was drilled at the radial tuberosity, and fixation was achieved with a transosseous cortical button fixation device (EndoButtonTM, Smith & Nephew, Memphis, TN, USA) with the elbow held at 90° flexion and 50° supination ( ).

Techniques: