Orthopaedic Clinic (KJOC) scores with a minimum of 1-year follow up. Results: A total of 88 patients (83 males, 5 females) with mean age of 47 years (range, ...
2018 AOSSM Annual Meeting
Surgical Repair of Distal Triceps Tendon Injuries: Short-Term Clinical Outcomes and Re-Rupture Rate Brian Robert Waterman, MD1, Robert Dean2, Shreya S. Veera3, Brian J. Cole, MD, MBA2, Anthony A. Romeo, MD2, Robert Wysocki, MD2, Mark S. Cohen, MD2, John Fernandez2, Nikhil N. Verma, MD2 1Wake
Forest University School of Medicine, Winston Salem, NC, USA, 2Midwest Orthopaedics at Rush, Chicago, IL, USA, Orthopaedics at Rush, Carmel, IN, USA.
3Midwest
Objectives: The purpose of this study is to describe the clinical, functional, and patient-reported outcomes of distal triceps tendon repairs, as well as to describe perioperative risk profile and re-rupture rates among those with or without pre-existing enthesopathy. Methods: Patients who underwent surgical repair of traumatic triceps tendon injuries between 2008 and 2016 were identified from the surgical database at a single institution. The electronic medical records were queried to determine demographic information, time from injury, mechanism of injury, extent of tear, pre-existing enthesopathy, and postoperative complications. Patients with arthritis, concomitant ligament surgery, and/or secondary rupture following previous elbow surgery were excluded. Follow-up outcome measures included the Mayo Elbow, Disabilities of the Arm, Hand, and Shoulder (QuickDASH), Veterans RAND (VR/SF-12), and Kerlan-Jobe Orthopaedic Clinic (KJOC) scores with a minimum of 1-year follow up. Results: A total of 88 patients (83 males, 5 females) with mean age of 47 years (range, 14-74) were identified with distal triceps tendon repairs at an average of 49 days (range, 1 to 3650 days) after injury. Sixty-nine patients (76.1%) returned for follow-up at average 3.99 years post-operatively (SD, 2.51). The most common mechanisms of injury were direct elbow trauma (45.4%), extension/lifting exercises (18.1%), overuse (13.6%), and hyperflexion or hyperextension (14.8%). Twenty patients were identified with pre-existing, symptomatic enthesophytes, and 68 tears were caused by acute injury; A total of 42 and 46 partial tendon tears were identified (Table 1). Bone tunnels were most commonly used (n=42, 47.7%), while direct sutures (n=31, 35.2%) and suture anchors (n=12, 13.6%) were also used. Postoperative complications occurred in 23.9% of patients, but no patients experienced re-rupture at time of final follow-up. Final postoperative patient-reported outcome measures are noted in Table 1. No statistically significant correlation was found between patient age (p=0.750), degree of tear (p=0.870), or surgical technique (p=0.740) and presence of perioperative complications. Conclusion: Despite heightened risk of perioperative complications after primary repair of distal triceps tendon injuries, the current series identifies favorable functional outcomes and no cases of re- rupture at short- to mid-term follow-up. Furthermore, age, surgical technique, and extent of tear were not associated with adverse patient outcomes in this investigation.
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The Orthopaedic Journal of Sports Medicine, 6(7)(suppl 4) DOI: 10.1177/2325967118S00163 ©The Author(s) 2018
