Table 1.
Author | Repairs | Mean follow-up (range), mo | Average age, y | Study findings | Complications |
---|---|---|---|---|---|
van Riet et al35 | 23 | 93 (7-264) | 47 | Peak strength of 82% as compared with contralateral side (range, 75%-106%) ROM, 10°-136° All patients had 4-5/5 strength testing |
3 (13%) reruptures 1 patient had olecranon avulsion, ulnar neuropathy, and required HWR Average 10° loss ROM |
Mirzayan et al21 | 150 | NR | 49 | Neither outcome scores, strength, nor ROM | BT fixation: anchor fixation Reoperation rate (2.1% vs 9.4%)* Infection rate (0% vs. 5.2%)* |
Mair et al19 | 11 | 36 (NR) | 29 | All regained full ROM without weakness 10/11 returned to professional football |
1 (9%) rerupture |
Bava et al4 | 5 | 32 (18-49) | 47 | Postoperative: DASH: 1.4 ASES: 99.2 Mayo Elbow: 95.8 Oxford Elbow (pain), 96; (function), 100; (social), 96 |
NR |
Kokkalis et al17 | 11 | 21 (12-40) | 53 | Preoperative → postoperative VAS: 8.5 → 2.4 Preoperative → postoperative strength:1.6 → 4.8 Postoperative arc of motion: 136° 9/11 patients “very satisfied” and returned to full work |
Loss of 7° arc of motion 1/11 (9%) had postoperative pain over suture knot |
Farrar and Lippert (1981)12 | 3 | 10 (9-12) | 48 | 3/4 (75%) had 4/5 strength 1/4 (25%) had 5/5 strength |
NR |
Sierra et al29 | 11 | 17 (7-168) | 50 | 10/11 (91%) in follow-up returned to preinjury activity 2/11 (18%) had 4/5 strength 9/11 (82%) had 5/5 strength |
1 (6%) rerupture 1 (6%) radial nerve palsy 1 (6%) ulnar neuropathy |
Sollender et al31 | 4 | NR | 42 | 1 patient suture repair 3 patients—NR 4/4 patients were weight lifters using anabolic steroids 2/4 patients had local steroid injection |
1 (25%) rerupture—early return to aggressive weight lifting 1 (25%) contralateral triceps rupture |
Kose et al18 | 8 | 19 (12-26) | 25 | All patients satisfied; all returned to previous level of function 6/8 (75%) excellent Mayo, 2/8 (25%) good Mayo 5/5 strength in all |
1 (13%) ulnar nerve entrapment, required release 1 (13%) PIN palsy |
Yoon et al41 | 2 | 19 (5-60) | 21 | 3/4 (75%) had ROM 0°-140° with full strength | 1 (25%) 10° loss of extension |
Neumann et al24 | 7 | 12 (NR) | 49 | Mean DASH, 10.3 6/7 (83%) had full ROM |
1 (14%) had loss of flexion (110°) |
Note. ROM = range of motion; HWR = hardware removal; NR = not reported; BT = bone tunnel; DASH = Disabilities of the Arm, Shoulder and Hand; ASES = American Shoulder and Elbow Surgeons; Mayo = Mayo Elbow Score; VAS = Visual Analog Scale; PIN = posterior interosseous nerve.
Not statistically significant.