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make a single interior incision in the forearm identify the distal biceps to debride any compromise tisha whipstitch the tendon using a fiber loop thread the whip stitch limbs through the bicep button so the button slides freely on the sutures drilling by cortical tunnel in the radial tuberosity then drill a uni cortical tunnel over the guide pin you insert the biceps button through the far cortex flip the button and pull the suture limbs to dock the tendon into the tunnel pass one suture limb through the tendon and tie a knot you load one suture limb through the tenodesis driver and insert the screw on the radial side of the bone tunnel tie sutra limbs to complete the repair