title: Treatment of a Complex Distal Triceps Tendon Rupture With a New Technique: A Case Report.
abstract: BACKGROUND
  The distal triceps tendon rupture is an uncommon injury. The acute treatment is well-defined, but when a delayed diagnosis is made or when a tendon retraction is present the alternatives or reconstruction are limited and sometimes complex.
  
  
  METHODS
  In this case, we report on a 28-year-old man who presented with a chronic disruption of the distal triceps tendon with a gap of approximately 15 cm. The patient was diagnosed in another center with an inveterate breakage of the distal triceps tendon and was initially treated with an Achilles allograft that was complicated by a wound infection and required more than ten surgeries. Nearly 22 months after the initial trauma, and 12 months after the first surgery, we performed a reconstruction with an Achilles tendon allograft using the new technique of distal attachment. At the 12-month follow-up the patient presented a joint balance from -5º to 110º and presented with no pain.
  
  
  CONCLUSIONS
  The use of an Achilles tendon allograft provides excellent results in complex distal triceps tendon ruptures. We report the use of a new technique to anchor a distal Achilles allograft.
authors.affiliation: Orthopedic Trauma Section, Orthopedic Surgery Department, October 12 Hospital, Madrid, Spain.
authors.forename: Ismael
authors.initials: I
authors.lastname: Aunon-Martin
authors.affiliation: Orthopedic Trauma Section, Orthopedic Surgery Department, October 12 Hospital, Madrid, Spain.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Prada-Canizares
authors.affiliation: Orthopedic Trauma Section, Orthopedic Surgery Department, October 12 Hospital, Madrid, Spain.
authors.forename: Veronica
authors.initials: V
authors.lastname: Jimenez-Diaz
authors.affiliation: Orthopedic Trauma Section, Orthopedic Surgery Department, October 12 Hospital, Madrid, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Vidal-Bujanda
authors.affiliation: Orthopedic Trauma Section, Orthopedic Surgery Department, October 12 Hospital, Madrid, Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Leon-Baltasar
keywords: Achilles Tendon; Tendon; Tendon Injuries