V-shaped double-row distal triceps tendon repair: a novel technique using unicortical button fixation

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