Patellar tendon ossification after partial patellectomy: a case report

Çakıcı, Hüsamettin; Hapa, Onur; Özturan, Kutay Engin; Güven, Melih; Yücel, İstemi

doi:10.1186/1752-1947-4-47

Cited by 10 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The scanned bar = 1000 μm for all. junction (Cakici et al, 2010;Kim et al, 2011). In the present study, we demonstrated that CMF promotes BT junction healing by enhancing the ossification after partial patellectomy in rabbit models.…”

Section: Discussionsupporting

confidence: 62%

“…Caricin et al. reported that the restoration of the BT junction's mechanical strength was closely related with bone formation at the healing interface, and in some cases, the size and quality of new bone formation represented the degree of healing at the BT junction (Cakici et al., ; Kim et al., ). In the present study, we demonstrated that CMF promotes BT junction healing by enhancing the ossification after partial patellectomy in rabbit models.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Combined magnetic fields accelerate bone‐tendon junction injury healing through osteogenesis

Zhang

et al. 2014

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

The objective of this study was to explore the effect of combined magnetic fields (CMFs) on osteogenesis and the remodeling of newly formed bone at bone-tendon (BT) junction. Forty-eight mature rabbits in whom partial patellectomy was performed were used to establish a BT junction injury model at the patella-patellar tendon (PPT) complex and were then allocated to CMF treatment group (CMF group) or placebo treatment group (control group). Daily CMF therapy was delivered continuously from post-operative day 3 to weeks 4, 8, and 16. At each time point, the animals were sacrificed, and the PPT complexes were harvested for radiographic, histological, peripheral quantitative computed tomography, and micro-computed tomography (micro-CT) evaluation. The area, length, and bone mineral density of the newly formed bone in the CMF group were significantly greater than the control group at post-operative weeks 8 and 16. The micro-CT results showed that the newly formed bone in the CMF group contained more and thicker trabeculae than the control group at weeks 8 and 16. Histologically, the CMF group showed better remodeling of the BT junction. In conclusion, CMF treatment was able to accelerate osteogenesis during BT junction repair, thus facilitating the healing of BT junction injury.

show abstract

Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Combined magnetic fields accelerate bone‐tendon junction injury healing through osteogenesis

Zhang

et al. 2014

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

show abstract

“…Bone formation is a crucial stage in the process of BTJ healing . The size of the new bone corresponded to the degree of healing in the process of BTJ healing . From the radiographic results and histology, we can deduced that the size of new bone increased as the healing over time, more new bone and cartilage‐like tissue were formed in the LIPUS group than the control group at the same time point.…”

Section: Discussionmentioning

confidence: 94%

The effect of low‐intensity pulsed ultrasound on bone‐tendon junction healing: Initiating after inflammation stage

Lü

Liu

Chen

et al. 2016

Journal Orthopaedic Research

View full text Add to dashboard Cite

The purpose of this study was to explore the effect of low‐intensity pulsed ultrasound (LIPUS) treatment initiating after inflammation stage on the process of bone‐tendon junction (BTJ) healing in a rabbit model. Thirty‐six rabbits undergoing partial patellectomy were randomly divided into two groups: control and LIPUS. The period of initial inflammatory stage is 2 weeks. So LIPUS treatment was initiated at postoperative week 2 and continued until the patella‐patellar tendon (PPT) complexes were harvested at postoperative weeks 4, 8, and 16. At each time point, the PPT complexes were harvested for qRT‐PCR, histology, radiographs, synchroton radiation micro computed tomography (SR‐µCT), and biomechanical testing. The qRT‐PCR results showed that LIPUS treatment beginning at postoperative week 2 played an anti‐inflammatory role in BTJ healing. Histologically, the LIPUS group showed more advanced remodeling of the lamellar bone and marrow cavity than the control group. The area and length of the new bone in the LIPUS group were significantly greater than the control group at postoperative weeks 8 and 16. SR‐µCT demonstrated that new bone formation and remodeling in the LIPUS group were more advanced than the control group. Biomechanical test results demonstrated that the failure load, ultimate strength and energy at failure were significantly higher than those of the control group. In conclusion, LIPUS treatment beginning at postoperative week 2 was able to accelerate bone formation during the bone‐tendon junction healing process and significantly improved the healing quality of BTJ injury. © 2016 The Authors. Journal of Orthopaedic Research published by Wiley Periodicals, Inc. on behalf of the Orthopaedic Research Society.

show abstract

“…In literature the ossification of the patellar tendon has been reported mainly related to knee injuries [3,4] or as a consequence of total/partial patellectomy [5,6] and intramedullary nailing of the tibia [7-9]. A rare and interesting report was described by Chen et al, an extensive heterotopic ossification after patellar tendon repair in a 32-year-old African-American man with a rare trisomy 8 mosaicism.…”

Section: Discussionmentioning

confidence: 99%

Patellar tendon ossification after anterior cruciate ligament reconstruction using bone – patellar tendon – bone autograft

Camillieri

Sanzo

Ferretti

et al. 2013

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundAmong the various complications described in literature, the patellar tendon ossification is an uncommon occurrence in anterior cruciate ligament (ACL) reconstruction using bone – patellar tendon – bone graft (BPTB). The heterotopic ossification is linked to knee traumatism, intramedullary nailing of the tibia and after partial patellectomy, but only two cases of this event linked to ACL surgery have been reported in literature.Case presentationWe present a case of a 42-year-old Caucasian man affected by symptomatic extended heterotopic ossification of patellar tendon after 20 months from ACL reconstruction using BPTB. The clinical diagnosis was confirmed by Ultrasound, X-Ray and Computed Tomography studies, blood tests were performed to exclude metabolic diseases then the surgical removal of the lesion was performed. After three years from surgery, the patient did not report femoro-patellar pain, there was not range of motion limitation and the clinical-radiological examinations resulted negative.ConclusionThe surgical removal of the ossifications followed by anti-inflammatory therapy, seems to be useful in order to relieve pain and to prevent relapses. Moreover, a thorough cleaning of the patellar tendon may reveal useful, in order to prevent bone fragments remain inside it and to reduce patellar tendon heterotopic ossification risk.

show abstract

Patellar tendon ossification after partial patellectomy: a case report

Cited by 10 publications

References 11 publications

Combined magnetic fields accelerate bone‐tendon junction injury healing through osteogenesis

Combined magnetic fields accelerate bone‐tendon junction injury healing through osteogenesis

The effect of low‐intensity pulsed ultrasound on bone‐tendon junction healing: Initiating after inflammation stage

Patellar tendon ossification after anterior cruciate ligament reconstruction using bone – patellar tendon – bone autograft

Contact Info

Product

Resources

About