SpeedBridge Technique for Open Distal Triceps Tendon Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Surgical Techniques

Background:

• Distal triceps tendon ruptures are common in middle-aged males, often occurring at the tendinous insertion.
• Ruptures can happen at the musculotendinous junction, mid-tendon, or insertion point.
• This video details a hybrid repair using transosseous sutures, SpeedBridge compression, and knotless anchors.

Purpose of the Study:

• To demonstrate a surgical technique for acute distal triceps tendon avulsion from the olecranon.
• To restore the tendon footprint on the olecranon.
• To create a strong fixation construct for optimal healing and functional range of motion.

Main Methods:

• Preparation of the proximal avulsed tendon with suture tapes in a locking Krackow fashion.
• Drilling of transosseous tunnels through the olecranon and placement of a suture anchor.
• Formation of the SpeedBridge construct by passing sutures through tunnels and securing them into the anchor.

Main Results:

• The SpeedBridge technique shows good functional and clinical outcomes.
• High patient satisfaction rates and elbow functional scores are reported.
• Low complication rates and successful return to work/activity are observed.

Conclusions:

• The hybrid SpeedBridge construct is an effective technique for acute distal triceps tendon repair.
• This method balances tension to optimize healing and restore elbow function.