Let me take you on a journey... #orthotwitter
"no, the triceps tendon was not augmented, why do you ask?"
no problem, we'll revise it, this time with augmentation.
yeah, no.
I got to revise it after the 2nd failure. went with 2 stage just to make sure (took the short 72hr microbiology option). took everything out, Joint absolutley stable through full PROM. ABx spacer.
Given joint stability, aim was to readapt tricpes for extensor function. revised at 5 days, no indication of infection. 4 Strand fibertape locking stitch into triceps (mobilised and distalised a bit) then ran fibertape through the fracture and intramedullary down the ulnashaft,… twitter.com/i/web/status/1…
moral of the story - suture augment the triceps tendon during the index surgery!
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