scholarly journals Repair of Acute Patellar Tendon Rupture Using an Internal Brace Technique

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Aki Fukuda ◽  
Shigeto Nakazora ◽  
Akinobu Nishimura ◽  
Ko Kato
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Primary Repair ◽  
Donor Site ◽  
Knee Extensor ◽  
High Strength ◽  
Donor Site Morbidity ◽  
Ligament Injury ◽  
Patellar Tendon Rupture ◽  
Internal Brace

Acute patellar tendon rupture is a serious injury, resulting in the disruption of the knee extensor mechanism. Many authors recommend augmented repairs of patellar tendon ruptures to allow early active rehabilitation. An internal brace technique, which is a ligament augmentation using high-strength suture tape and knotless anchors, has been used as augmentation for the primary tendon or ligament injury. A case of acute patellar tendon rupture in a Judo player, who was successfully treated with primary repair and augmentation using an internal brace technique, is presented. In this case, the patient regained full function of the knee and returned to full sports activities postoperatively. An internal brace technique provides biomechanical stability of the repaired tendon without donor site morbidity and could be an effective procedure for the treatment of acute patellar tendon rupture.

scholarly journals Patellar Tendon Rupture Following Total Knee Arthroplasty

2019 ◽  
Vol 13 (1) ◽  
pp. 239-243
Author(s):  
Steven T. Heer ◽  
James O’Dowd ◽  
Rebecca R. Butler ◽  
David O. Dewitt ◽  
Gaurav Khanna ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patellar Tendon ◽  
Knee Arthroplasty ◽  
Tendon Rupture ◽  
Primary Repair ◽  
Bone Tunnel ◽  
Fixation Method ◽  
Patellar Tendon Rupture ◽  
Significant Difference ◽  
Total Knee

Background: Patellar tendon rupture following Total Knee Arthroplasty (TKA) is rare. There is no consensus on optimal treatment. Methods: All patients who underwent a primary repair of a traumatic patellar tendon rupture following a TKA between 2008 and 2016, were retrospectively reviewed. Patient information, implant, repair type (anchor vs. bone tunnel), graft use, and complications were recorded. Results: Twenty-six patients met our inclusion criteria. The average age was 69.7+11 years. There were 19 females (73.1%). The average time from TKA to PT rupture was 13.6 months (range: 0- 135 months). The average incidence was 62.32 per 100,000 TKA. PT was repaired with anchors (A) in 9 (4 with a graft) and trans-osseous tunnels (TO) in 12 (5 required graft), and 5 with other methods. There was a significant improvement in KSS from 61 to 83 (P=0.023). There was a significant difference in time from PT tear to surgery in patients with grafts (42 days) and those without grafts (6 days) (P<0.001). Compared to A repair, TO had 2.39 times odds of re-tear (95% CI: 0.38,15.4; P=0.354) and 1.37 times odds of infection (95% CI:0.074,25.6; P=0.83). Repairs with a graft had a 1.90 times odds of re-tear (95% CI: 0.29, 12.19; P=0.49) and 6.3 time odds of infection (95% CI 0.26, 166.7; P=0.25). Conclusion: Surgical repair of PT tears following TKA leads to significant clinical improvement, regardless of the fixation method or graft use. We found no difference in outcomes between A and TO repairs and or with graft use.

scholarly journals Reconstruction of Acute Patellar Tendon Rupture after Patellectomy

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Kenjiro Fujimura ◽  
Koji Sakuraba ◽  
Satoshi Kamura ◽  
Kiyoshi Miyazaki ◽  
Nobuo Kobara ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Weight Bearing ◽  
Full Range ◽  
Knee Extensor ◽  
Extensor Mechanism ◽  
Patellar Tendon Rupture ◽  
Acute Rupture ◽  
End To End ◽  
Knee Extensor Mechanism

Acute rupture of the knee extensor mechanism after patellectomy is extremely rare. We present the case of a patient with acute patellar tendon rupture who had undergone patellectomy 53 years before. Twelve days after the injury, the ruptured patellar tendon was repaired with end-to-end suture. Postoperatively, we splinted the knee for 6 weeks but permitted the patient to walk without limiting weight bearing at 1 week postoperatively. At one-year follow-up, the patient is able to move his knee almost full range of motion and the Lysholm knee score is 81. The patient is satisfied with the outcome. This is the first report to treat acute rupture of the patellar tendon in a patient who had undergone patellectomy. Although careful rehabilitation is required, end-to-end suture might be an adequate surgical procedure for acute rupture of the knee extensor mechanism after patellectomy.

scholarly journals OPEN SURGERY FOR PATELLAR TENDON RUPTURE AND TIBIAL TUBEROSITY AVULSION FRACTURE IN PRE-EXISTING OSGOOD SCHLATTER LESION: A CASE REPORT

2021 ◽  
Vol 10 (2) ◽  
pp. 59
Author(s):  
Shianita Limena ◽  
Anak Agung Ngurah Ronny Kesuma ◽  
I Komang Mahendra Laksana
Keyword(s):  
Surgical Treatment ◽  
Patellar Tendon ◽  
Open Surgery ◽  
Tendon Rupture ◽  
Avulsion Fracture ◽  
Motor Vehicle ◽  
Primary Repair ◽  
Injury Pattern ◽  
Tibial Tuberosity ◽  
Patellar Tendon Rupture

Background: In Osgood Schlatter Disease, despite being a self-limiting disease during adolescence, various complications of Osgood Schlatter Disease could also present in adulthood. An uncommon injury pattern requires surgical treatment. This study aims to understand the implementation of surgery in managing complications case of Osgood Schlatter Disease.Case Report: We present a rare case of complete patellar tendon rupture and tibial tuberosity avulsion fracture following a low-energy motor vehicle accident landing on his left knee in a 42 years old active male, who later discovered is having a pre-existing Osgood Schlatter Disease. This patient is treated with an open surgery fixating the tibial tuberosity using a single lag screw and eight tension wires, followed by primary repair of the patellar tendon, including its retinaculum.Discussion: Weakened structure from pre-existing Osgood Schlatter lesion may cause uncommon and profound injury pattern that requires surgical treatment. Conservative treatment no longer has a place in this case. The various surgical treatment methods have been reported; however, surgical modification technique is performed accordingly due to the complicated case presentation.Conclusion: Surgical treatment is the most suitable treatment option in managing this uncommon injury pattern complication of Osgood Schlatter Disease. 

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.

Acute patellar tendon rupture

2000 ◽  
Vol 16 (8) ◽  
pp. 869-870 ◽  
Author(s):  
Bernard C. Ong ◽  
Orrin Sherman
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Patellar Tendon Rupture

scholarly journals A rare case of patellar fracture with quadriceps tendon rupture

2021 ◽  
Vol 7 (2) ◽  
pp. 406
Author(s):  
K. N. Subramanian ◽  
Ganesan G. Ram ◽  
Muthukumar S. ◽  
Mathiyazhagan Babu
Keyword(s):  
Patellar Tendon ◽  
Rare Case ◽  
Tendon Rupture ◽  
Quadriceps Tendon ◽  
Extensor Mechanism ◽  
Patella Fracture ◽  
Patellar Fracture ◽  
Quadriceps Tendon Rupture ◽  
Patellar Tendon Rupture ◽  
Bone Level

<p>Quadriceps tendon rupture is the rarest injury with an incidence of 1.37/1,00,000/year. A patellar fracture is the most common injury associated with extensor mechanism lag, but it is rarely found to have quadriceps rupture rather than patellar tendon rupture. Normally when patella fracture occurs the force is disseminated at the bone level rather than at the muscular level. In this case, the force has disseminated at both muscle and bone leading to fracture of patella and quadriceps tendon rupture. Here we report a case of patellar fracture along with quadriceps tendon rupture.<strong></strong></p>

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