Reconstruction of chronic triceps tendon avulsion using synthetic mesh graft in a dog

Summary Avulsion of the triceps tendon insertion was diagnosed in a two-year-old Poodle mixed breed dog 10 weeks after traumatic injury. Diagnosis was confirmed with clinical examination and magnetic resonance imaging (MRI). The tendon was reconstructed using tension-relieving sutures augmented with a synthetic degradable porous polyurethane urea onlay mesh graft. The repair was immobilized using a transarticular external skeletal fixator with staged increases in elbow flexion. Treatment was successful, with signs of healing confirmed by MRI and normal clinical function one year after surgery. The successful outcome in this case suggests that surgical repair of a chronic triceps tendon injury using a synthetic mesh augmentation may be successful in similar cases.

[1]  Eric Giza,et al.  Augmented Tendon Achilles Repair Using a Tissue Reinforcement Scaffold: A Biomechanical Study , 2011, Foot & ankle international.

[2]  S. Corr,et al.  Retrospective study of Achilles mechanism disruption in 45 dogs , 2010, Veterinary Record.

[3]  S. A. Ibrahim.  Surgical treatment of chronic Achilles tendon rupture. , 2009, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[4]  W. Renberg,et al.  Efficacy of immobilization of the tarsal joint to alleviate strain on the common calcaneal tendon in dogs. , 2009, American journal of veterinary research.

[5]  S. Clarke,et al.  Avulsion of the triceps tendon insertion in a cat , 2007, Veterinary and Comparative Orthopaedics and Traumatology.

[6]  C. Nielsen,et al.  Outcome following surgical repair of achilles tendon rupture and comparison between postoperative tibiotarsal immobilization methods in dogs , 2006, Veterinary and Comparative Orthopaedics and Traumatology.

[7]  D. Lorinson,et al.  Traumatic triceps tendon avulsion in a cat. , 2006, The Journal of small animal practice.

[8]  K. Gisselfält,et al.  Synthesis and properties of degradable poly(urethane urea)s to be used for ligament reconstructions. , 2002, Biomacromolecules.

[9]  S. Trevino,et al.  The Effects of Early Mobilization in the Healing of Achilles Tendon Repair , 2000, Foot & ankle international.

[10]  J. Murray,et al.  Repair of neglected Achilles tendon ruptures with Marlex mesh. , 1996, Injury.

[11]  E. Lund,et al.  Chronic bicipital tenosynovitis in dogs: 29 cases (1985-1992). , 1995, Journal of the American Veterinary Medical Association.

[12]  D. Tesoro,et al.  Comparison of the mechanical and histologic properties of Achilles tendons in New Zealand white rabbits secondarily repaired with Marlex mesh. , 1991, The Journal of foot surgery.

[13]  P. Schwarz,et al.  Tarso-crural Arthrodesis: Complications and Recommendations , 1989, Veterinary and Comparative Orthopaedics and Traumatology.

[14]  E. Egger,et al.  In Vitro Comparison of the Three Loop Pulley and Locking Loop Suture Patterns for Repair of Canine Weightbearing Tendons and Collateral Ligaments , 1986 .

[15]  J. Jones.  Achilles tendon rupture following steroid injection. , 1985, The Journal of bone and joint surgery. American volume.

[16]  W E Garrett,et al.  Recovery of skeletal muscle after laceration and repair. , 1984, The Journal of hand surgery.

[17]  A. Gross,et al.  Achilles tendon rupture following steroid injection. Report of three cases. , 1983, The Journal of bone and joint surgery. American volume.

[18]  D. G. Jones,et al.  Triceps tendon rupture in the dog following corticosteroid injection , 1982 .

[19]  R. Dueland,et al.  Triceps tenotomy: biomechanical assessment of healing strength. , 1980 .

[20]  D H Elliott,et al.  The biomechanical properties of tendon in relation to muscular strength. , 1967, Annals of physical medicine.

[21]  J. J. Buckley,et al.  Report of Three Cases , 1962 .