Distal triceps tendon repair using Krakow whipstitches, K wires, tension band and double drilling technique: a case report

Journal of Medical Case Reports

Fabio Catani¹  Carlo Alberto Costanzini¹  Raffaele Mugnai¹  Francesco Zambianchi¹  Luigi Tarallo¹ 

[1] Department of Orthopaedics and Traumatology, University Hospital Policlinico di Modena, Via del Pozzo 71, Modena, 41124, Italy

关键词: Triceps tendon;    Suture;    Olecranon;    K wires;    Double drilling;   

Others  :  1145524
DOI  :  10.1186/s13256-014-0504-5

 received in 2014-11-13, accepted in 2014-12-23,  发布年份 2015

【 摘 要 】

Introduction

The management of distal triceps tears must address each patient’s medical and functional status: in general, the literature has described satisfactory nonsurgical treatment in tears less than 50%. Tears greater than 50% are treated nonsurgically in a sedentary person and surgically in active patients. Complete tears are generally managed surgically: most reported repair techniques describe the use of Bunnell or Krakow whipstitch techniques, passing the sutures through transosseous drill holes in the ulna. Other described techniques include the use of suture anchors and direct tendon repair to a periosteal flap raised from the olecranon.

Case presentation

In the presented report we describe the surgical technique used to treat a complete traumatic distal triceps tendon rupture associated with olecranon fracture in a 40-year-old Caucasian man with underlying poor tendon quality and postoperative assessment. To the best of our knowledge no studies describing the performed surgical technique, utilizing Krakow whipstitches, olecranon fixation with K wires and Zuggurtung tension band through transosseous drill holes have been previously described in the literature.

At 30 days postoperatively the patient had regained full elbow flexion/extension and pronation/supination.

Conclusions

The described methodology, using a double ulnar tunnel to obtain fixation of the fragment, associated with a whipstitch locking-type suture for the triceps tendon, allowed proper fixation of the fracture and optimal reinsertion of the detached tendon on its footprint with sufficient strength.

【 授权许可】

   
2015 Tarallo et al.; licensee BioMed Central.

【 图 表 】

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