A comparison of distal triceps tendon repair outcomes by surgical technique
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 stu...
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| Format: | Article |
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Elsevier
2024-11-01
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| Series: | JSES Reviews, Reports, and Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639124001044 |
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| author | Parker L. Brush, MD Delano Trenchfield, BS Nicholas B. Pohl, MS Taylor L. Swan, BS Adrian Santana, BS Christopher M. Jones, MD Surena Namdari, MD Pedro K. Beredjiklian, MD Daniel Fletcher, MD |
| author_facet | Parker L. Brush, MD Delano Trenchfield, BS Nicholas B. Pohl, MS Taylor L. Swan, BS Adrian Santana, BS Christopher M. Jones, MD Surena Namdari, MD Pedro K. Beredjiklian, MD Daniel Fletcher, MD |
| author_sort | Parker L. Brush, MD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-47ed260417dc4882b176bcff181f7c21 |
| institution | OA Journals |
| issn | 2666-6391 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj-art-47ed260417dc4882b176bcff181f7c212025-08-20T01:47:54ZengElsevierJSES Reviews, Reports, and Techniques2666-63912024-11-014479079610.1016/j.xrrt.2024.06.008A comparison of distal triceps tendon repair outcomes by surgical techniqueParker L. Brush, MD0Delano Trenchfield, BS1Nicholas B. Pohl, MS2Taylor L. Swan, BS3Adrian Santana, BS4Christopher M. Jones, MD5Surena Namdari, MD6Pedro K. Beredjiklian, MD7Daniel Fletcher, MD8Department of Orthopaedic Surgery, Philadelphia, PA, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USA; Corresponding author: Nicholas B. Pohl, MS, Rothman Orthopaedic Institute, 925 Chestnut St. 5th Floor, Philadelphia, PA 19107, USA.Department of Biomedical Engineering, University of South Carolina, Columbia, SC, USADepartment of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USADepartment of Orthopaedic Surgery, Philadelphia, PA, USABackground: 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.http://www.sciencedirect.com/science/article/pii/S2666639124001044Distal triceps ruptureTriceps repairTransosseousSuture anchorReruptureComplications |
| spellingShingle | Parker L. Brush, MD Delano Trenchfield, BS Nicholas B. Pohl, MS Taylor L. Swan, BS Adrian Santana, BS Christopher M. Jones, MD Surena Namdari, MD Pedro K. Beredjiklian, MD Daniel Fletcher, MD A comparison of distal triceps tendon repair outcomes by surgical technique JSES Reviews, Reports, and Techniques Distal triceps rupture Triceps repair Transosseous Suture anchor Rerupture Complications |
| title | A comparison of distal triceps tendon repair outcomes by surgical technique |
| title_full | A comparison of distal triceps tendon repair outcomes by surgical technique |
| title_fullStr | A comparison of distal triceps tendon repair outcomes by surgical technique |
| title_full_unstemmed | A comparison of distal triceps tendon repair outcomes by surgical technique |
| title_short | A comparison of distal triceps tendon repair outcomes by surgical technique |
| title_sort | comparison of distal triceps tendon repair outcomes by surgical technique |
| topic | Distal triceps rupture Triceps repair Transosseous Suture anchor Rerupture Complications |
| url | http://www.sciencedirect.com/science/article/pii/S2666639124001044 |
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