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Augmentation of triceps tendon repair with a bio-inductive collagen scaffold
  1. Benjamin Welborn,
  2. Charles Cody White and
  3. Jeremy R Bruce
  1. Department of Orthopaedic Surgery, The University of Tennessee Health Science Center, College of Medicine, Chattanooga, Tennessee, USA
  1. Correspondence to Dr Jeremy R Bruce; bruce_jeremy{at}hotmail.com

Abstract

Two active, adult male patients, one with prior triceps rupture and direct repair, presented with traumatic rupture of the distal triceps tendon. MRI confirmed not only complete rupture with retraction in both, but also signal changes within the tendon, raising concern for healing potential and re-rupture. Surgical repair was performed using heavy, non-absorbable suture and suture anchors in the standard fashion, followed by augmentation with a bovine, bio-inductive collagen scaffold in order to increase tendon thickness and aid with healing capability. This technique is well described for rotator cuff repair augmentation but is a novel technique to the literature in the setting of triceps tendons repair. Both patients returned to full, preinjury activity without complication with sustained results at 3 and 3.5 years postoperatively.

  • Orthopaedics
  • Tendon rupture
  • Orthopaedic and trauma surgery
  • Tendonopathies

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: BW, CW, JBBW and CW contributed equally. The following authors gave final approval of the manuscript: BW, CW, JB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.