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使用无锚钉缝线固定修复肱三头肌并恢复肱三头肌附着点

Triceps Repair and Restoration of Triceps Footprint With Anchorless Suture Fixation.

作者信息

Steffes Matthew, Tayne Samantha, Osmani Feroz, Edwards Gary, MacGillis Kyle, Kim Walter, Hammarstedt Jon E, Goldberg Benjamin

机构信息

Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL.

Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania.

出版信息

Tech Hand Up Extrem Surg. 2018 Sep;22(3):89-93. doi: 10.1097/BTH.0000000000000196.

Abstract

Triceps tendon rupture is an uncommon yet potentially devastating injury affecting patients over a broad demographic. Surgical treatment is essential to restore upper extremity functional status, and a vast array of techniques has been implemented with different fixation devices including suture buttons, intraosseous anchors, and suture repairs. Outcomes of distal triceps tendon repair have demonstrated nearly full return of functional capacity. Complications include infection, ulnar nerve neuropathy, arthrofibrosis, flexion contracture, hardware irritation, and most commonly, repair failure. We illustrate a triceps repair technique with suture fixation that restores the tendinous footprint without need of an adjunctive device.

摘要

肱三头肌腱断裂是一种罕见但可能具有毁灭性的损伤,影响广泛人群。手术治疗对于恢复上肢功能状态至关重要,并且已经采用了大量技术,使用了不同的固定装置,包括缝合纽扣、骨内锚钉和缝合修复。肱三头肌腱远端修复的结果显示功能能力几乎完全恢复。并发症包括感染、尺神经病变、关节纤维性变、屈曲挛缩、内植物刺激,最常见的是修复失败。我们展示一种使用缝合固定的肱三头肌修复技术,该技术无需辅助装置即可恢复肌腱附着点。

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