V形双排肱三头肌远端肌腱修复术：一种使用单皮质纽扣固定的新技术。
V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation.
作者信息
Scheiderer Bastian, Lacheta Lucca, Imhoff Andreas B, Siebenlist Sebastian
机构信息
Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
出版信息
Eur J Med Res. 2017 Mar 14;22(1):9. doi: 10.1186/s40001-017-0250-4.
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.
背景
本报告旨在介绍一种将缝线锚钉与单侧皮质纽扣固定相结合用于肱三头肌远端肌腱修复的新技术。
技术描述
对于急性肱三头肌远端肌腱断裂的解剖复位，使用两个缝线锚钉和一个形成V形结构的单侧皮质纽扣。详细描述了手术入路。
结果
术后早期取得了优异的临床和功能结果。术后12周，与未受伤侧手臂相比，患者的肘关节活动范围和伸展肌力均恢复至正常（5/5）。未发生并发症。
结论
这是首次在肱三头肌远端肌腱修复中使用单侧皮质纽扣固定的报告，初步结果令人满意。
证据级别
技术描述、病例报告，V级。
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