3D illustration of an upper arm with the triceps tendon exposed, repaired with sutures

Triceps Tendon Repair Surgery Overview

Triceps tendon repair is a surgical procedure designed to restore function and stability to the elbow following a rupture or significant damage to the triceps tendon. This tendon plays a critical role in the extension of the elbow and overall arm movement. In this procedure, the surgeon reattaches the tendon to the bone, utilising advanced techniques to ensure proper alignment and healing. Post-operative rehabilitation is essential and typically involves a tailored programme of physical therapy to regain strength and flexibility. Successful triceps tendon repair can significantly improve arm function, allowing patients to return to their daily activities and sports with confidence.

Step-by-Step Breakdown of Triceps Tendon Repair Surgery

  1. Preoperative Preparation

    • Patient is evaluated, and medical history is reviewed.

      Diagnostic imaging (e.g., MRI or ultrasound) may be conducted to confirm the extent of the tendon injury.

      Informed consent is obtained from the patient after discussing the procedure, risks, and benefits.

  2. Anaesthesia Administration

    • The patient is brought into the operating room and positioned comfortably.

    • Either general anaesthesia or regional anaesthesia is administered, based on the surgical plan and patient preference.

  3. Surgical Site Preparation

    • The skin over the surgical area is cleaned and draped to maintain a sterile environment.

    • Appropriate padding may be used to position the arm optimally during the procedure.

  4. Surgical Approach

    • A longitudinal or transverse incision is made over the posterior aspect of the elbow to access the triceps tendon.

    • Care is taken to avoid damaging nearby nerves and blood vessels.

  5. Exposure of the Tendon

    • The soft tissue surrounding the tendon is carefully dissected to expose the triceps tendon and any associated structures.

    • Any scar tissue or debris is removed to improve the visualisation of the tendon.

  6. Assessment of the Injury

    • The torn edges of the tendon are assessed for viability and the quality of the tissue.

    • Fragments of the tendon that may be avulsed from the bone are also evaluated.

  7. Tendon Repair

    • The torn ends of the triceps tendon are approximated to each other.

    • Suture anchors or non-absorbable sutures are used to secure the tendon to the humerus or the site of the original attachment.

    • A combination of techniques may be employed, depending on the injury's nature.

  8. Reinforcement

    • Additional sutures or reinforcement methods may be used to ensure stability, especially if the tendon is significantly weakened or degenerated.

  9. Closure

    • Once the tendon is securely repaired, the layers are closed in a controlled manner.

    • The subcutaneous tissue is closed with absorbable sutures, followed by closure of the skin using either sutures or staples.

  10. Postoperative Care

    • The surgical site is bandaged, and the arm may be placed in a brace or sling to restrict movement.

    • Pain management strategies are discussed, and the patient is often instructed on mobility precautions.

    • A follow-up plan is established, including physical therapy and rehabilitation to restore function.

  11. Recovery Monitoring

  • The patient is monitored for immediate postoperative complications, such as infection or swelling.

  • Progress is evaluated at subsequent follow-up visits, with adjustments made to the rehabilitation program as recovery permits.

This straightforward outline covers the fundamental steps in triceps tendon repair surgery. Each case may require specific adjustments based on individual circumstances.