Surgical options for chronic patellar tendon rupture in total knee arthroplasty

Lamberti, Alfredo; Balato, Giovanni; Summa, Pier Paolo; Rajgopal, Ashok; Vasdev, Attique; Baldini, Andrea

doi:10.1007/s00167-016-4370-0

Cited by 54 publications

(27 citation statements)

References 35 publications

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“…Among the patients in whom we performed revision for extensor mechanism problems, eighth (72%) had patellar instability, one (9%) had patellar fracture and two (18%) had patellar tendon rupture as the primary diagnosis. Patellar tendon injuries occurring during exposure and when the patella is turned down laterally during revision surgery have been reported in the literature at variable rates (24).Halder performed tibial tubercle osteotomy in 67 RKAS patients and encountered pseudoarthrosis in only one case, consistent with performing the surgical technique correctly. Tibial tubercle osteotomy was defined as a safe and effective technique in patients with contracture, in whom the knee cannot be opened with the standard medial and lateral parapatellar approach (25,26).…”

Section: Discussionmentioning

confidence: 87%

Short Term Outcomes in Patients Undergoing Aseptic Total Knee Arthroplasty Revision

2018

ARC Journal of Orthopedics

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Section: Discussionmentioning

confidence: 87%

Short Term Outcomes in Patients Undergoing Aseptic Total Knee Arthroplasty Revision

2018

ARC Journal of Orthopedics

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“…The advantage of an Achilles tendon allogeneic transplant is that it provides the graft with good tissue and bone quality in patients whose tissues are particularly fragile. Lamberti et al demonstrated in their recent article that allografts in general, and Achilles tendon allografts in particular, provided better functional results than autografts in restoring correct joint function following total knee arthroplasty [ 16 ]. They also reported good results by performing an ipsilateral quadriceps and semitendinosus autograft using the Rajgopal et al technique [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Achilles Tendon Allograft with Semitendinosus Autograft Reinforcement Is a Successful Treatment for Chronic Patellar Tendon Rupture: Report of Two Cases

Regennass¹,

Boissard

Guillou

et al. 2021

Case Reports in Orthopedics

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Rupture of the patellar tendon must be diagnosed urgently because reconstruction of the extensor mechanism produces better results when it is performed in acute conditions. Reconstruction of chronic extensor mechanism rupture on the contrary is very challenging. Several surgical techniques have been described using a variety of graft choices and fixation methods, but the optimal approach is still under debate. We report our experience of two cases of chronic patellar tendon rupture reconstruction using an Achilles tendon allograft reinforced by a vascularized ipsilateral semitendinosus tendon frame. The rapid functional recovery of the range of motion, only three months postoperatively, showed us that this reconstruction technique was effective.

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“…According to the literature, in chronic lesions, knee extensor mechanism reconstruction can usually be performed using allogenic or synthetic grafts and the gold standard for treatment in these cases is utilization of Achilles's tendon allografts. 23 Allografts can be fresh-frozen or freeze-dried; the Achilles's tendon or the complete extensor mechanism are the suitable grafts. In TKA, the Achilles's tendon was found to provide reliable reconstruction of ruptured patellar tendon.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Chronic Patellar Tendon Rupture with Hamstrings Tendon Autograft

et al. 2019

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AbstractWe describe a new simple reconstruction for neglected chronic ruptures of patellar tendon using ipsilateral hamstrings tendon autograft. This has been validated in thirteen patients with mean follow up six years resulting in favorable outcome. Thirteen patients with mean age 58.2 years (range 30–64 years) presented with chronic patellar tendon rupture. They all underwent patellar tendon reconstruction using ipsilateral hamstrings tendon autograft. The average time from injury was 10 months (range 3–20 months). The cause of rupture was fall from height or after TKA and the preoperative Lysholm score was 65 (range 50–80). Postoperatively with a mean follow up of six years (range 5–7 years), all patients had a stable knee with mean flexion of 123°, extension lag 0°, and Insall-Salvati index 1.2. Quadriceps power was regained in 8 cases to 5/5 and in 5 cases to 4/5. No complications were inspected. The postoperative Lysholm score was 93 (range 89–95). Patellar tendon reconstruction using ipsilateral hamstrings as free autograft, consists an effective treatment option for chronic neglected patellar tendon ruptures. Our technique has favorable clinical outcome, complications are not expected, and consist a simple and anatomic reconstruction with a powerful graft, without the requirement for allograft or implants.

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Surgical options for chronic patellar tendon rupture in total knee arthroplasty

Abstract: IV.

Cited by 54 publications

References 35 publications

Short Term Outcomes in Patients Undergoing Aseptic Total Knee Arthroplasty Revision

Short Term Outcomes in Patients Undergoing Aseptic Total Knee Arthroplasty Revision

Achilles Tendon Allograft with Semitendinosus Autograft Reinforcement Is a Successful Treatment for Chronic Patellar Tendon Rupture: Report of Two Cases

Treatment of Chronic Patellar Tendon Rupture with Hamstrings Tendon Autograft

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