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 Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Shuichi Miyamoto ◽  
Makoto Otsuka ◽  
Fumio Hasue ◽  
Takayuki Fujiyoshi ◽  
Koushirou Kamiya ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Surgical Treatment ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Avulsion Fracture ◽  
Tibial Tuberosity ◽  
Traumatic Rupture ◽  
Patellar Tendon Rupture ◽  
Steel Wires

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.

scholarly journals Surgical Treatment of Chronic Patellar Tendon Rupture: A Case Series Study

2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Mahmoud Jabalameli ◽  
Abolfazl Bagherifard ◽  
Hosseinali Hadi ◽  
Mohammad Mujeb Mohseni ◽  
Amin Yoosefzadeh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Case Series ◽  
Patellar Tendon Rupture ◽  
Case Series Study ◽  
Series Study

scholarly journals Patellar tendon rupture - treatment results

2015 ◽  
Vol 68 (1-2) ◽  
pp. 22-28 ◽  
Author(s):  
Nemanja Kovacev ◽  
Jelena Antic ◽  
Nemanja Gvozdenovic ◽  
Mirko Obradovic ◽  
Miodrag Vranjes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Knee Joint ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Lysholm Score ◽  
Patellar Tendon Rupture ◽  
Treatment Results ◽  
Timely Diagnosis ◽  
Significant Difference

Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective tenyear study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p=0.0197 p<0.05) was found in the average values of the Lysholm score between the group of patients with risk factors (71.78) and the subjects without risk factors (92.18). A statistically significant difference (p=0.008 p<0.01) was found in the Lysholm score between the patients with timely diagnosis (91.62) and cases of chronic tendon tear (67). Conclusion. Timely diagnosis and early surgical reparation are the basic imperatives in the treatment of this injury. Comorbidity and risk factors are related to a poorer postoperative Lysholm score. The method of choice is early surgical treatment.

scholarly journals Acute traumatic patellar tendon rupture: Early and late results of surgical treatment of 38 cases

2015 ◽  
Vol 101 (3) ◽  
pp. 307-311 ◽  
Author(s):  
A. Roudet ◽  
M. Boudissa ◽  
C. Chaussard ◽  
B. Rubens-Duval ◽  
D. Saragaglia
Keyword(s):  
Surgical Treatment ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Late Results ◽  
Patellar Tendon Rupture ◽  
Early And Late Results

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 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 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.

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