Traumatic Rupture of the Distal Triceps Tendon (A Series of 7 Cases)

摘要

Even non-traumatic ruptures of the triceps tendon are rare, surgical therapy should be recommended in allcases, because of poor results after non-operative treatment. A golden standard for the surgical procedure is notestablished. A small series of traumatic distal tendon ruptures was treated surgical in our hospital and was followed upafter 12 months concerning their function. Very good and good results could be found with a strong reintegration of thetendon by using transosseus sutures with non resorbable suture material. The refixation with suture anchors showeddisappointing results with early pull-outs of the anchor. Revision with screw augmentation with a washer had to beperformed. Concerning the biomechanical forces, which show up on the olecranon (up to 40 NM), the refixation of thetriceps tendon has proved to be extremely resistant against pull out forces. The good results by using non absorbabletransosseus sutures led to a standardized procedure in our trauma center, even the rupture is not traumatic.