肱三头肌远端断裂修复：肱三头肌滑车-套叠技术

Dimock Richard A C, Kontoghiorghe Christina, Consigliere Paolo, Salamat Shadi, Imam Mohamed A, Narvani A Ali

Rowley Bristow Unit, Ashford and St Peter's NHS Trust, Chertsey, United Kingdom.

Norfolk & Norwich University Hospitals, Norwich, United Kingdom.

Arthrosc Tech. 2019 Jan 1;8(1):e85-e91. doi: 10.1016/j.eats.2018.09.006. eCollection 2019 Jan.

Distal triceps rupture is an uncommon but debilitating injury, and surgical fixation is almost invariably warranted. A number of techniques have been described in the literature in which combinations of transosseous tunnels and bone anchors have been used. We describe a modification to existing techniques-the triceps pulley-pullover technique with all-suture anchors. This technique minimizes bone loss, while maximizing the bone-tendon contact area and creating a double-row repair to optimize strength and healing.

肱三头肌远端断裂是一种罕见但使人衰弱的损伤，几乎总是需要进行手术固定。文献中描述了多种技术，其中使用了经骨隧道和骨锚的组合。我们描述了一种对现有技术的改良——使用全缝线锚钉的肱三头肌滑车套入技术。该技术可将骨质流失降至最低，同时最大化骨-肌腱接触面积并进行双排修复以优化强度和愈合。