scholarly journals Double-crossed knotless suture anchor repair of quadriceps rupture

2021 ◽  
Author(s):  
Waqas Ali ◽  
Javaid Iqbal ◽  
Liam Leonard ◽  
Paul O'Grady
Keyword(s):  
Tendon Rupture ◽  
Suture Anchor ◽  
Quadriceps Tendon ◽  
Quadriceps Tendon Rupture ◽  
Effective Treatment Option ◽  
The Mean ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Suture Anchor Repair

Abstract Quadriceps tendon rupture is an uncommon injury but may result in long term disability if not adequately repaired. Many techniques are described for repair of acute quadriceps tendon rupture, including tendon-to-tendon repair, trans-osseous tunnels, synthetic augmentation, tendon plasty and the use of suture anchors. There is no single accepted surgical treatment. This study's objective was to assess the efficacy of a double-crossed suture anchor repair in the management of quadriceps tendon rupture. Materials and methods: 85 patient attended our institute for surgical management of quadriceps tendon rupture over eight years (2012-2019). Seven patients were treated with the use of a double-crossed suture anchor fixation. These patients were allowed to weight bear in a hinged knee brace for six weeks following surgery. Six out of seven patients had one or more predisposing co-morbidities, including obesity, diabetes, renal failure, quinolone and steroid use. Results: Clinical and functional outcome were recorded during follow up visits prospectively for a mean of one year (10-14 months). The mean knee flexion was 124 degree (120 -130). All patients were able to return to activities of daily living (ADL) with a mean of 2 months (1.5-3 months) and return to work at a mean of 6 months (4-8 months). The mean Tegner, Cincinnati and Lysholm score at the latest follow up were 2.8 (0-5), 79.2 (60-88) and 90 (70-100), respectively. There were no early complications. There was no re-tear reported at the latest follow up. Conclusion : The double-crossed suture anchor fixation is a safe and effective treatment option in managing quadriceps tendon ruptures.

Suture Anchor Repair of Quadriceps Tendon Rupture

Orthopedics ◽  
2014 ◽  
Vol 37 (3) ◽  
pp. 183-186 ◽  
Author(s):  
Joshua D. Harris ◽  
Geoffrey D. Abrams ◽  
Adam B. Yanke ◽  
Michael D. Hellman ◽  
Brandon J. Erickson ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Suture Anchor ◽  
Quadriceps Tendon ◽  
Quadriceps Tendon Rupture ◽  
Suture Anchor Repair

scholarly journals Quadriceps Tendon Rupture Following Total Knee Arthroplasty

2019 ◽  
Vol 13 (1) ◽  
pp. 250-254
Author(s):  
Steven T. Heer ◽  
James O'Dowd ◽  
Rebecca R. Butler ◽  
David O. Dewitt ◽  
Gaurav Khanna ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Rare Complication ◽  
Quadriceps Tendon ◽  
Quadriceps Tendon Rupture ◽  
Significant Difference ◽  
Total Knee ◽  
Suture Anchor Repair ◽  
Extensor Lag

Introduction: Rupture of a Quadriceps Tendon (QT) following a Total Knee Arthroplasty (TKA) is a rare complication. The purpose of this study was to report outcomes and complications of QT repair following TKA. Methods: From a cohort of 437 QT repairs, 19 individuals were identified who had previously undergone a TKA on the ipsilateral leg. Data was collected on individuals with a minimum follow up of 3 months post QT repair (n=16), including Knee Society Scores, pre and post-operative lag, and pre and post-operative range of motion. Results: 13 patients were treated with End-to-End (EE) repairs and 6 were treated with transosseous or suture anchor repair (ATO). In the ATO group, there was no difference in pre (68.0 ± 22.5) and post KSS (82 ± 9.16) (p=0.231), but in the EE group, there was a significant improvement in KSS (pre=67.8 ± 13.1, post=86 ± 16.75, p=0.0027). There was significant difference in post-operative extension lag between ATO (26.0 ± 12.6) vs. EE (4.0 ± 2.74) (p=0.0083). Four out of six ATO patients had extension lag ≥10 degree extensor lag (66.7%) compared to 2 out of 13 (15.4%) patients in the EE group. Compared to EE, ATO repair had an 8.00 times odds of re-tear (95% CI: 0.53,120.6; p=0.133) and 2.75 times greater risk of infection (95% CI: 0.284, 26.61; p=0.382). Conclusion: Patients who underwent EE repair had better functional improvements compared to the ATO group and smaller extension lag.

Mid-Term Results of the Use of a Suture Anchor Fixation for Chronic Reducible Scapholunate Dissociation

2019 ◽  
Vol 24 (04) ◽  
pp. 440-446
Author(s):  
Reza Shahryar Kamrani ◽  
Behnam PanjaviLee ◽  
Ehsan Vahedi
Keyword(s):  
Grip Strength ◽  
Suture Anchor ◽  
Dash Score ◽  
Scapholunate Dissociation ◽  
Tissue Manipulation ◽  
Quick Dash ◽  
Suture Anchor Fixation ◽  
Anchor Fixation ◽  
Mid Term Results

Background: Scapholunate dissociation (SLD) is a common and sometimes disabling ligamentous injury of the wrist. The aim of the treatment is to restore carpal alignment and to prevent joint degeneration. In the current study, we reported mid-term results of our technique using suture anchor fixation within the SL interface. Methods: Nine male patients with an average age of 35 years underwent scapholunate suture anchor fixation (SLAF) for chronic and symptomatic dynamic or reducible static SLD from 2011 to 2016 with a mean follow-up of 36 months. After dorsal wrist exposure, a 2.8 mm suture anchor was inserted in the dorsoproximal lateral articular surface of the lunate bone. The two ends of the sutures were passed through the two divergent canals in the scaphoid. The sutures were tied over the tuberosity after reducing the SL alignment. Two K-wires supported SL and scaphocapitate (SC) alignment for 8 weeks. Radiographic parameters, wrist range of motion and grip strength were measured. Quick-DASH and Modified Mayo Wrist Score (MMWS) were used to assess the functional outcome. Results: The grip strength and passive motion reached to 75% and 88% of the other side, respectively. The SL gap was 5.4 mm, 2.6 mm and 3.4 mm before surgery, after pin removal, and on the follow-up stress radiographs, respectively. The SL angle was 82, 52 and 65 degrees at any time point, respectively. Average Quick-DASH score was improved from 60 to 25. According to MMWS score, one patient was excellent, one was good, five were fair, and two were poor. Conclusions: SLAF is a simple technique with minimal soft tissue manipulation that enables correction and maintaining of the carpal alignment with favorable mid-term results.

Suture Anchor Versus Suture Through Tunnel Fixation for Quadriceps Tendon Rupture: A Biomechanical Study

Orthopedics ◽  
2011 ◽  
Author(s):  
William A. Lighthart ◽  
David A. Cohen ◽  
Richard G. Levine ◽  
Brent G. Parks ◽  
Henry R. Boucher
Keyword(s):  
Tendon Rupture ◽  
Suture Anchor ◽  
Quadriceps Tendon ◽  
Biomechanical Study ◽  
Quadriceps Tendon Rupture

scholarly journals Adjustable Cortical Fixation Device for Quadriceps Tendon Repair: A Cadaveric Biomechanical Study

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097439
Author(s):  
Heath P. Gould ◽  
William R. Rate ◽  
Pooyan Abbasi ◽  
Katherine L. Mistretta ◽  
Jason W. Hammond
Keyword(s):  
Cyclic Loading ◽  
Suture Anchor ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Fixation Device ◽  
Peak Displacement ◽  
Anchor Group ◽  
Fixation Group ◽  
The Mean ◽  
Suture Anchor Repair

Background: Adjustable cortical fixation devices have demonstrated utility in orthopaedic applications, such as ankle syndesmosis repair. Purpose: To assess the cyclic gap formation of a quadriceps tendon repair technique using an adjustable cortical fixation device compared with repair with knotless suture anchors and suture tape, a modification of conventional suture anchor repair. Study Design: Controlled laboratory study. Methods: Eight fresh-frozen matched pairs of cadaveric knees were used. Specimens in each pair were randomized to undergo either modified suture anchor repair (control) or adjustable cortical fixation repair. The control repair was performed as previously described. The experimental repair was performed using 2 No. 2 FiberWire sutures placed into the quadriceps tendon in a running locked Krackow configuration and 2 adjustable loop devices passed through transosseous tunnels. The lagging strands of the devices were tensioned to seat the cortical fixation buttons at the inferior patellar pole and then tied to the free Krackow strands at the superior pole to complete the repair. The mean plastic gap (permanent tendon displacement that did not recover with cyclic extension) and mean maximum gap (peak displacement that occurred with cyclic knee flexion and partially recovered with extension) were evaluated during cyclic loading for 500 cycles of full knee extension to 90° of flexion. Results: At all testing intervals, the mean plastic gap was significantly smaller for the cortical fixation group versus the suture anchor group ( P < .02). Similarly, the mean maximum gap was significantly smaller for the cortical fixation specimens at all testing intervals ( P < .01). After cyclic loading, the mean maximum gap was significantly smaller in the cortical fixation group (4.80 ± 1.56 mm) versus the suture anchor group (8.47 ± 1.47 mm; P = < .001). The mean plastic gap was also significantly smaller in the cortical fixation versus the suture anchor group (3.25 ± 1.10 mm vs 6.57 ± 1.62 mm, respectively; P = < .001). Conclusion: Quadriceps tendon repair using an adjustable cortical fixation device demonstrated superior biomechanical properties in cyclic displacement testing compared with repair using the suture anchor technique. Clinical Relevance: These results suggest that an adjustable cortical fixation device is a biomechanically viable alternative for quadriceps tendon repair.

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