V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation.

BACKGROUND

This report was designed to present a novel technique combining suture anchor and unicortical button fixation for distal triceps tendon repair.

TECHNICAL DESCRIPTION: For anatomical reinsertion of an acute distal triceps tendon rupture, two suture anchors and one unicortical button forming a V-shaped configuration were used. The operative approach is described in detail.

RESULTS

Excellent clinical and functional results were achieved in the early postoperative phase. The patient reached full elbow range of motion and extension muscle strength (5/5) compared to the uninjured arm 12 weeks after surgery. Complications did not occur.

CONCLUSION

This is the first report using unicortical button fixation in distal triceps tendon repair with promising preliminary results.

LEVEL OF EVIDENCE: Technical description, case report, Level V.