A comparison of distal triceps tendon repair outcomes by surgical technique.
| Autor: | Brush PL; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Trenchfield D; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Pohl NB; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Swan TL; Department of Biomedical Engineering, University of South Carolina, Columbia, SC, USA., Santana A; Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA., Jones CM; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Namdari S; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Beredjiklian PK; Department of Orthopaedic Surgery, Philadelphia, PA, USA., Fletcher D; Department of Orthopaedic Surgery, Philadelphia, PA, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | JSES reviews, reports, and techniques [JSES Rev Rep Tech] 2024 Jul 20; Vol. 4 (4), pp. 790-796. Date of Electronic Publication: 2024 Jul 20 (Print Publication: 2024). |
| DOI: | 10.1016/j.xrrt.2024.06.008 |
| Abstrakt: | Background: Distal triceps tendon ruptures are an uncommon injury with several reported repair techniques. Outcomes research between the repair techniques is complicated by the rarity of the injury as most published materials are based on small sample sizes and specific surgical techniques. This study compared surgical complications, reoperations, and range of motion between all suture transosseous tunnel only (TT), suture anchor only (SA), and transosseous tunnel plus suture anchor (TTSA) repair techniques. Methods: We retrospectively identified patients who underwent a distal triceps repair at our tertiary-care institution from 2011 to 2021. The electronic medical record was reviewed for patient demographics, triceps rupture characteristics, repair technique, and postoperative complications. Results: This study includes 199 patients who underwent a repair by TT (82), SA (69), or TTSA (48) techniques. No differences were identified between groups with regards to demographics and medical comorbidities. Patients treated by SA technique were more likely to have a loss of elbow extension (SA: 14 [26.4%], TT: 6 [8.57%], TTSA: 4 [10.0%], P = .014) postoperatively with an average loss of 9° for the patients in all groups. However, no differences were identified between the groups with regards to postoperative complications (TT: 15.9%, SA: 17.4%, TTSA: 18.8%, P = .911), including triceps rerupture (TT: 6.10%, SA: 4.35%, TTSA: 12.5%, P = .260), and reoperation (TT: 11.0%, SA: 11.6%, TTSA: 14.6%, P = .822) rates. Conclusion: Regardless of repair technique, distal triceps tendon repair surgery has a relatively high complication and reoperation rate. However, given the similarities between the various methods of repair, surgeons can be confident in repairing this type of injury by whichever modality they deem appropriate. (© 2024 The Author(s).) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|