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Triceps Tendon Repair
Triceps tendon repair is indicated for complete tears and those involving greater than 50% of the tendon. Partial tears of less than 50% of the tendon are often managed nonsurgically. However, active individuals may require surgical intervention if nonsurgical treatment is unsuccessful. Multiple surgical techniques have been described for triceps tendon repair, with high rates of success and low rates of rerupture. Typically, the surgical techniques used consist of locked suturing of the triceps tendon and repair with crossed drill holes across the olecranon; the use of suture anchors in a single- or double-row configuration; a hybrid technique using a row of suture anchors as well as the passage of suture through the olecranon; the augmentation of a primary repair or attempted primary repair with an anconeus flap; or the use of either Achilles tendon allograft (with or without a bone block) or semitendinosus allograft or autograft (in patients with chronic tears in which the native tendon will not reach the olecranon). This chapter reviews the indications, contraindications, results, and surgical techniques related to the repair of the triceps tendon. Postoperative protocols and tips for avoiding complications and pitfalls are also discussed.