scholarly journals Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater

2019 ◽  
Vol 12 (4) ◽  
pp. e228611
Author(s):  
Alexander Nagel Tandberg ◽  
Hege Grindem ◽  
Christian Wiig ◽  
Wender Figved
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Femoral Condyle ◽  
Cruciate Ligament ◽  
Suture Repair ◽  
Partial Rupture ◽  
Patellar Tendon Rupture ◽  
Transosseous Suture ◽  
Anterior Cruciate ◽  
The Right

A long track speed skater sustained a deep horizontal cut to the right knee just distally to the patella, after he got hit by the skate blade of the pair mate. The injury included a complete patellar tendon rupture from the apex of the patella, a 1 mm deep transverse cut in the femoral condyle and a partial rupture of the anterior cruciate ligament. The tendon rupture was repaired with transosseous suture repair without augmentation. A knee brace was used for 8 weeks, with a gradual decrease in flexion restraints. A rehabilitation programme was overseen by a dedicated physiotherapist. At 6 months, he started a gradual return to skating sessions. After 1 year, he had symmetrical single-legged hop performance, but quadriceps weakness due to pain. The patient returned to competition speed skating at national levels after 11 months, and within the first postoperative year, he was breaking new personal records on the ice.

scholarly journals Open knee dislocation with a patellar tendon rupture: Result of staged surgical repair

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882310
Author(s):  
Tsuneari Takahashi ◽  
Tomohiro Matsumura ◽  
Kazuaki Ishihara ◽  
Shuhei Hiyama ◽  
Katsushi Takeshita
Keyword(s):  
Posterior Cruciate Ligament ◽  
Surgical Management ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Cruciate Ligament ◽  
Knee Dislocation ◽  
Patellar Tendon Rupture ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Multiligament Injury

Knee dislocation with concomitant multiligament injury is a rare and devastating injury. We report the successful repair of a rare case of open knee dislocation with concomitant multiligament injury and patellar tendon rupture of an 18-year-old male due to a motorcycle accident. The patient presented with an open wound running parallel to the knee joint line and patellar tendon rupture with full exposure of the cartilage of the distal femur. Staged surgical management including the application of a ring-type external fixator with a hinged joint, lateral collateral ligament repair, medial collateral ligament reconstruction using autogenous hamstring tendon, and joint release was performed. Range of movement was recovered to 0 degrees of knee extension and 80 degrees of knee flexion, and extension lag was negative. The Lysholm score of the patient was recovered to 92. The patient was able to return to work in the construction field 2 years after sustaining the injury. The patient had no complaint of pain and was able to resume construction work, even though reconstruction of the anterior cruciate ligament and posterior cruciate ligament was not performed. The application of a hinged ring-type external fixation device might play a key role in early range of movement restoration and to maintain the reduced position and acceptable recovery of the posterior cruciate ligament injury without the need for reconstructive surgery. This report is the first to describe the safety and effectiveness of staged surgical management for the repair of open knee dislocation with concomitant multiligament injury and patellar tendon rupture. However, further studies with longer follow-up periods will be needed to observe the development of osteoarthritis or weakness of the knee. Staged surgical management is a safe and effective procedure for repairing an open knee dislocation with concomitant multiligament injury and patellar tendon rupture.

Review of Jones (1963) on ‘Reconstruction of the anterior cruciate ligament. A technique using the central one-third of the patellar ligament’

2019 ◽  
Vol 4 (6) ◽  
pp. 338-344
Author(s):  
Nicola Maffulli ◽  
Antonio Oliviero
Keyword(s):  
Anterior Cruciate Ligament ◽  
Patellar Tendon ◽  
Femoral Condyle ◽  
Cruciate Ligament ◽  
Quadriceps Tendon ◽  
Tendon Graft ◽  
Patellar Ligament ◽  
Patellar Tendon Graft ◽  
Knee Ligament ◽  
Anterior Cruciate

This classic discusses the original publication ‘Reconstruction of the anterior cruciate ligament (ACL). A technique using the central one-third of the patellar ligament’ on the Jones procedure. Published in 1963 in the ‘Journal of Bone and Joint Surgery American Volume’, it was inspired by pioneering surgeons in the field of knee ligament reconstruction. Jones introduced a technique that reconstructed the ACL using the middle third of the patella tendon, leaving it attached to a strip of patella and quadriceps tendon to obtain the necessary length. The strip of patellar tendon was then introduced and secured in a tunnel drilled in an inside-out fashion through the lateral femoral condyle. Although with time technological advances and clinical and biomechanical studies led to profound modifications of the technique described in the original article, the concepts introduced by Jones are still at the base of all the reconstructive techniques of the ACL using a patellar tendon graft.

scholarly journals Prominent Resident’s Ridge as a Potential Cause of Anterior Cruciate Ligament Impingement: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mandeep Singh Dhillon ◽  
Aman Hooda ◽  
Pratik M Rathod
Keyword(s):  
Anterior Cruciate Ligament ◽  
Case Report ◽  
Bone Graft ◽  
Patellar Tendon ◽  
Femoral Condyle ◽  
Cruciate Ligament ◽  
Graft Placement ◽  
Femoral Attachment ◽  
Anterior Cruciate ◽  
Bone Patellar Tendon

Introduction: The resident’s ridge is an arthroscopic landmark that is consistent with the anterior border of the anterior cruciate ligament (ACL) femoral attachment. The identification of the landmark allows for accurate graft placement. Case Report: We report a case of a 30-year athletic individual with an ACL-deficient knee, who had an abnormally large resident’s ridge, abutting the midsubstance of the torn ACL; the residual femoral attachment was behind the ridge. Resection and burring of this ridge were needed to expose the posterior aspect of the intercondylar notch; even after bone-patellar tendon-bone graft placement, some additional removal of bone had to be done to reduce graft impingement on this area in extension. Conclusion: Abnormal resident’s ridge may be misleading about the anatomy of the lateral femoral condyle area. Appropriate resection of abnormal bone is the key to the identification of femoral footprint and graft placement. We speculate that this bony projection may even have contributed to the ACL injury, and extra bone had to be removed to minimize subsequent impingement. Keywords: Anterior cruciate ligament reconstruction, resident’s ridge, knee arthroscopy, anterior cruciate ligament impingement, bone-patellar tendon-bone graft.

scholarly journals Autograft Options for ACL Reconstruction. Which is Best?

2017 ◽  
Vol 2 (s3) ◽  
pp. 32-34
Author(s):  
Adrian Todor ◽  
Dan Nistor ◽  
Mihai Roman ◽  
Octav Russu ◽  
Radu Prejbeanu ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Clinical Data ◽  
Cruciate Ligament ◽  
Quadriceps Tendon ◽  
Short Review ◽  
Specific Patient ◽  
Anterior Cruciate ◽  
The Right

AbstractAnterior cruciate ligament (ACL) tears are commonly seen in orthopedic practice, and usually restoration is recommended to re-establish normal knee function. Autografts and allografts are viable options. Among autografts the main sources are the patellar tendon, the hamstrings and the quadriceps tendon, each having advantages and drawbacks. Many factors should be taken into consideration when deciding on a graft source for ACL restoration; however, clinical data may aid the surgeon in choosing the right graft for every specific patient in an individualized manner. This short review is intended to highlight the main characteristics and clinical data for each type of autograft.

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