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Once all of the Distal Biceps Cortical Buttons have been inserted into the humerus, the sutures undergo final tensioning to pull the tendon to the footprint. Once the tendon is fully reduced, the sutures are then tied down with standard knot-tying techniques. The excess suture is then cut, followed by irrigation and wound closure. It is advisable to obtain an intraoperative C-arm image of the fixation to ensure that the buttons are positioned correctly.
