BIOMECHANICAL ANALYSIS PERFORMED ON LAMB FORELEGS COMPARING TRANSOSSEOUS REPAIR AND TRANSOSSEOUS REPAIR ASSOCIATED WITH ANCHOR FIXATION IN DISTAL TRICEPS LESIONS
DOI:
https://doi.org/10.56238/levv16n55-064Keywords:
Animals, Models, Orthopedics, Orthopedic Procedures, TendonsAbstract
Objective: To biomechanically compare two forms of triceps tendon repair (isolated transosseous suture versus transosseous suture associated with a metallic anchor). Method: The tests involved triceps tendon repairs in 8 forelimbs of goats, equally divided into the two repair type subgroups, and subjected to pull-out forces measured with a tensiometer. Result: The study concludes that the combined repair (transosseous suture associated with an anchor) was biomechanically superior to the isolated transosseous suture, although it acknowledges limitations such as the absence of tests in humans. Conclusions: Although there is no consensus on the best surgical repair technique for distal triceps injuries, the greater biomechanical resistance of the repair is a decisive factor for early rehabilitation and overall therapeutic success. Thus, the greater biomechanical resistance of the combined repair has the potential to generate greater benefit compared to the isolated repair technique.
Downloads
References
1. Partridge R. A case report of a case of ruptured triceps cubiti. In: Medical Times Gazette (1868): 1:175
2. Dunn JC; Kusnezov N; Fares A; Rubin S; Orr J; Friedman D; Kilcoyne K. Triceps Tendon Ruptures: A systematic review. In: Hand 12(5), (2007): 431-438
3. Anzel SH; Covey KW; Weiner AD. Disruption of muscles and tendons: An analysis of 1014 cases. Surgery 45(3), (1959): 406-414
4. Tagliafico A; Gandolfo N; Michaud J; Miguel M. Ultrasound demonstration of distal triceps tendon tears. In: European Journal of Radiology 81(6), (2012): 1207-1210
5. Tom JA; Kumar NS; Cerynik DL; Douglas L; Mashru R; Parrella MS. Diagnosis and treatment of triceps tendon injuries: A review of literature. In: Clinical Journal of Sport Medicine 24, (2014): 197
6. Golshani B; Bindra Jasjeet; Hunter JC. Bilateral triceps tendon tear. In: Radiology Case Reports 6(4), (2011)
7. Petre BM; Grutter PW; Rose DM; Belkoff SM; McFarland EG; Petersen SA. Triceps Tendons: A biomechanical comparison of intact and repaired strength. In: Journal of Shoulder and Elbow Surgery 20(2), (2011): 213-218.
8. Koplas MC; Schneider E; Sundaram M. Prevalence of triceps tendon tears of MRI of the elbow and clinical correlation. In: Skeletal Radiology 40(5), (2011): 587-594
9. Barco R; Sánchez P; Morrey ME; Morrey BF; Sánchez-Sotelo J. The distal triceps tendon insertional anatomy – Implications for surgery. In: Journal of Shoulder and Elbow Surgery: Open Source 1(2), (2017): 98-103
10. Mirzayan R; Singh A; Acevedo DC; Sodl JF; Yian E; Navarro RA. Surgical treatment of 150 acute distal triceps tendon ruptures. In: Journal of Shoulder and Elbow Surgery 24, (2015): 120
11. Herrick RT; Herrick S. Ruptured triceps in a powerlifter presenting as cubital tunnel syndrome: A case report. In: The American Journal of Sports Medicine 15(5), (1987): 514-516
12. Figueiredo EA; Lara PHS; Patriota G; Júnior RR; Belangero PS; Ejnisman B. Ruptura parcial do tríceps distal em atleta: Relato de caso e descrição de técnica cirúrgica. In: Revista Brasileira de Ortopedia (2018)
13. Sollender JL; Rayan GM; Barden GA. Triceps tendon rupture in weight lifters. In: Journal of Shoulder and Elbow Surgery 7(2), (1998): 151-153
14. Stannard JP; Bucknell AL. Rupture of the triceps tendon associated with steroid injections. In: The American Journal of Sports Medicine 21(3), (1993): 482-485
15. Yeh PC; Stephens KT; Solovyova O; Obopilwe E; LR Smart; Mazzocca AD; Sethi PM. The distal triceps tendon footprint and a biomechanical analysis of 3 repair techniques. In: The American Journal of Sports Medicine 38(5), (2010): 1025-1033
16. Van Riet RP; Morrey BF; Ho E; O’Driscoll SW. Surgical treatment of distal triceps ruptures. In: Journal of Bone and Joint Surgery: American Volume 85-A (10), (2003): 1961-1967
17. Paci JM; Clark J; Rizzi A. Distal triceps knotless anatomic footprint repair: A new technique. Arthroscopy Techniques 3(5), (2014): 621-626
18. Sanchez-Sotelo J; Morrey BF. Surgical techniques for reconstruction of chronic insufficiency of the triceps: Rotation flap using anconeus and tendo achillis allograft. In: The Journal of Bone and Joint Surgery: British volume 84(8), (2002): 1116-1120
