Gelenkflächenersatz des lateralen Tibiakopfplateaus mittels Patellatransplantation

Abstract

A case of surgical reconstruction of the lateral tibial plateau after impression fracture (Type 41-B3.1) of an 47-year-old female is presented. Joint reconstruction was performed by using a free patellar graft. The 16-year follow-up shows a very good functional outcome without subjective complaints. This case underlines that performing patellar autografting for surgical reconstruction of severe injury of the tibial plateau seems to be a promising alternative especially considering young patients in spite of avoiding total knee replacement.

Rekonstruktion des lateralen Tibiakopfes durch Patellatransplantation

“…1952 berichteten Wilson & Jacobs [11] über acht erfolgreiche Eingriffe nach Tibiakopffraktur. Seither wurden wenige Einzelfälle nach Traumen [2,5,10,12] und kleinere Serien bei Tumorrekonstruktion [2][3][4] berichtet. Es wurde auch mit Erfolg versucht, die Patella gefäßgestielt zu transplantieren [7,8].…”

“…Die mittelfristigen Resultate nach Versorgung von Tibiakopffrakturen sind positiv [2,5,10], aber auch eine Langzeitbeobachtung von Windolf et al [12] erzielte ein beachtenswertes Ergebnis.…”

“…In 1952, Wilson & Jacobs [11] reported on eight successful operations after fracture of the tibial head. Since then, only a few individual cases following trauma [2,5,10,12] and some smaller series following tumor reconstruction have been reported [2][3][4]. Transplantation of the patella with a vascular pedicle has also been performed with success [7,8].…”

“…In our three cases, this applied to the lateral tibial condyle. Mid-term outcomes after treatment of tibial head fractures are positive [2,5,10], whereby Windolf et al [12] have observed remarkable long-term results.…”