Patellar Transskeletal Traction for the Treatment of Chronic Patellar Pseudoarthrosis

Faria, José Leonardo Rocha de; Portella, Dieno Mol Souza; Titonelli, Victor Elias; Cavanellas, Naasson; Albuquerque, Rodrigo Pires e; Sousa, Eduardo Branco de; Barretto, João Maurício

doi:10.1155/2019/5915701

Cited by 3 publications

(2 citation statements)

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“…In 2019, we published the case report of a patient with patellar pseudarthrosis with 9 years of evolution, presenting a distance between the fragments of the patella of 9 cm. 30 We performed patellar trans-skeletal traction, decreasing this distance to 1.2 cm, and performed patellar osteosynthesis in a conventional manner, presenting an excellent functional clinical result with an active range of motion of 0 to 90 .…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment for Chronic Rupture of the Patellar Tendon Performed in 2 Stages

Faria

Carvalho

Marques

et al. 2020

Arthroscopy Techniques

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Patellar tendon rupture is an uncommon but disabling lesion. It usually occurs in men younger than 40 years, through direct or indirect trauma. Obtaining satisfactory results with treatment of chronic injuries and re-ruptures in which the patella retracts owing to quadriceps contraction is a challenge. This is of major concern especially in cases in which the patella cannot be positioned in its anatomic position when distal traction is performed. In these cases, V-Y stretching of the quadriceps can be performed in an attempt to perform reconstruction in 1 stage. Instead, a 2-stage procedure can be chosen, in which the first stage relies on patellar trans-skeletal traction to achieve distalization of the patella. In 1981, a technique for the treatment of chronic injuries of the patellar tendon in 2 stages was described. In that procedure, the first stage consisted of transpatellar traction and the second stage was tendon-tendon suturing with fascia lata reinforcement. We describe a surgical technique performed in 2 stages; in the first stage, trans-skeletal traction is performed, and in the second stage, the technique of Kelikian et al. with our modification is performed. This technique is used in patients with chronic rupture of the patellar tendon associated with a high patella with nonreducible quadriceps shortening.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment for Chronic Rupture of the Patellar Tendon Performed in 2 Stages

Faria

Carvalho

Marques

et al. 2020

Arthroscopy Techniques

Self Cite

View full text Add to dashboard Cite

show abstract

“…3 The proximal retraction of the quadriceps tendon makes the correct distal positioning of the patella difficult. [3][4][5][6] Patellar tendon injury is not an uncommon misdiagnosis at the emergency leading to chronic proximal retraction and, hence, to a challenging clinical scenario sometimes so intense that it may require gradual trans-osseous traction and a two-stage PT reconstruction. 4 Additionally, in the cases of chronic PT rupture, different techniques involving auto or allograft augmentation, reinforcement, and combination of other varying fixation devices were described aiming to appropriately correct the patella height and restore soft tissue integrity.…”

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confidence: 99%