Biomechanical and Clinical Evaluation of a Modified 3‐Loop Pulley Suture Pattern for Reattachment of Canine Tendons to Bone

Moores, A. P.; Comerford, Eithne; Tarlton, John F; Owen, M. R.

doi:10.1111/j.1532-950x.2004.04057.x

Cited by 62 publications

(141 citation statements)

References 17 publications

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“…A modification of these techniques seemed necessary in the present case taking into account that the injury the cat sustained consisted of an avulsion of the triceps tendon from the olecranon and not of a true tendon rupture, leaving the bone and only minimal tendinous material for the surgical repair. A modified three‐loop pulley suture was used for surgical repair since this method has been shown to be superior to a locking loop suture in preventing gap formation during tensile loading of reattached canine gastrocnemius tendons (Moores and others 2004).…”

Section: Discussionmentioning

confidence: 99%

Traumatic triceps tendon avulsion in a cat

Liehmann

Lorinson

2006

J of Small Animal Practice

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Traumatic avulsion of the triceps tendon was diagnosed in a 15-month-old, male, neutered European shorthair cat. Diagnosis was established clinically by palpation of a transverse groove proximal to the olecranon and by radiography. The avulsed end of the tendon was surgically reapposed using a modified three-loop pulley suture and horizontal mattress sutures. Postoperatively, elbow flexion was limited for three weeks with the aid of a spica splint and by exercise restriction for six weeks. The cat showed no lameness after bandage removal up to the time of writing (seven months). Although rare, triceps tendon injuries can occur after a blunt trauma and should be included in the differential diagnosis of foreleg lameness in the cat. The modified three-loop pulley suture in combination with subsequent immobilisation of the limb with a splinted bandage resulted in a successful outcome in this cat with a triceps tendon avulsion.

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Section: Discussionmentioning

confidence: 99%

Traumatic triceps tendon avulsion in a cat

Liehmann

Lorinson

2006

J of Small Animal Practice

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“…There are a few surgical techniques described in the literature related to the reattachment of the triceps tendon to the olecranon [1, 2, 7, 8, 10]. Presently available options include a tension band fixation, horizontal mattress suture with drilled holes in the proximal olecranon, a modified three-loop pulley suture and a Bunnell-Mayer suture [1, 2, 7, 8, 10].…”

mentioning

confidence: 99%

“…Presently available options include a tension band fixation, horizontal mattress suture with drilled holes in the proximal olecranon, a modified three-loop pulley suture and a Bunnell-Mayer suture [1, 2, 7, 8, 10]. Tension band fixation has been described for the management of a cat with an avulsion fracture of the proximal ulnar epiphysis [7].…”

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confidence: 99%

Traumatic Triceps Tendon Avulsion in a Dog: Magnetic Resonance Imaging and Surgical Management Evaluation

Yoon

Jeong

2013

The Journal of Veterinary Medical Science

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We report here the clinical presentation, magnetic resonance imaging (MRI) findings and successful surgical management associated with triceps tendon avulsion in a dog. A definitive diagnosis of triceps tendon avulsion was made based on MRI with evidence of displacement of the triceps tendon. Surgical correction of triceps tendon avulsion was performed with two horizontal mattress sutures using polyester and two tunnels drilled in the olecranon to reattach the tendon to the proximal olecranon. At 9 months, there was no evidence of lameness on the left thoracic limb. This is the first case report to describe MRI evaluation for the diagnosis of the triceps tendon avulsion.

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“…Suture patterns developed for this purpose include the Krakow suture, locking loop, Bun nellMayer and three-loop pulley patterns (Montgomery and Fitch 2003;Moores et al 2004). However, in cases where excessive tension results from retraction of the muscle-tendon unit or extensive tendon damage leading to a significant decrease in tensile strength, tendon repair with suture alone may not be sufficient.…”

mentioning

confidence: 99%

Augmentation of ruptured tendon using fresh frozen Achilles tendon allograft in two dogs: a case report

Alam

Gordon²,

Heo

et al. 2013

Vet. Med.

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This article describes two cases of augmentation of ruptured tendon with fresh frozen Achilles tendon allograft (FFATA) in dogs. Case 1 was a two-year-old crossbreed dog (29 kg) that presented with an open wound on the right forelimb and with complete rupture of the flexor carpi ulnaris and superficial digital flexor tendons. Case 2 was a four-year-old crossbreed dog (4 kg) with partial ruptures of the patellar tendon and detachment of the tibial tuberosity in the right hind limb. In both cases, the ends of the ruptured tendon were sutured and apposed after debridement. To minimize suture failure, FFATA (cut to sufficient size) was placed across the primary suture with tension and sutured to the host tendon. In addition, Case 2 received a Krackow suture through a transverse bone tunnel made in the tibia to fix the patellar tendon along with the tibial tuberosity in situ. The surgical areas healed without any evidence of exaggerated inflammatory response or clinical signs consistent with rejection of the allograft. Both the dogs had normal ambulation and weight bearing on the affected limb 12 weeks postoperatively. No postoperative complications were observed during a one-year follow up period except for slight contracture of the carpus and digits of the affected limb in Case 1. Thus, ruptured tendons can be successfully repaired using suture and augmentation with FFCTA. Augmentation with FFATA may provide additional stability, which counters tension on the primary repair and reduces the chance of gap formation or suture failure in case of reconstruction of the damaged tendon in dogs.

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Biomechanical and Clinical Evaluation of a Modified 3‐Loop Pulley Suture Pattern for Reattachment of Canine Tendons to Bone

Abstract: Tendon repairs with a gap >3 mm are reported to be at increased risk of rupture during the first 6 weeks postoperatively. A modified 3-loop pulley pattern resists gap formation better than a locking-loop pattern.

Cited by 62 publications

References 17 publications

Traumatic triceps tendon avulsion in a cat

Traumatic triceps tendon avulsion in a cat

Traumatic Triceps Tendon Avulsion in a Dog: Magnetic Resonance Imaging and Surgical Management Evaluation

Augmentation of ruptured tendon using fresh frozen Achilles tendon allograft in two dogs: a case report

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