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 Quadriceps tendon rupture - treatment results

2013 ◽  
Vol 66 (11-12) ◽  
pp. 453-458 ◽  
Author(s):  
Iva Popov ◽  
Vladimir Ristic ◽  
Mirsad Maljanovic ◽  
Vukadin Milankov
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Tendon Rupture ◽  
Surgical Techniques ◽  
Quadriceps Tendon ◽  
Lysholm Score ◽  
Acute Injury ◽  
Quadriceps Tendon Rupture ◽  
Multicentric Study ◽  
Operative Results

Introduction. Quadriceps tendon rupture is a rare but rather serious injury. If this injury is not promptly recognized and early operated, it may lead to disability. This research was aimed at pointing out the results and complications of the quadriceps tendon rupture surgical treatment. Material and Methods. This retrospective multicentric study was conducted in a group of 29 patients (mostly elderly men). Lysholm knee scoring scale was used to evaluate the surgical results. The post-operative results were compared in relation to the type of tendon rupture reconstructions (acute or chronic), various surgical techniques, type of injuries (unilateral or bilateral) as well as the presence or absence of comorbid risk factors in the patients. Results. The average value of a Lysholm score was 87.6. Excellent and satisfactory Lysholm score results dominated in our sample of patients. Better post-operative results were recorded in the group of patients without risk factors, in case of a bilateral injury, and in case of an acute injury. The best result was obtained after performing the reconstruction using anchors, and the worst result came after using Codivilla technique. Discussion and Conclusion. Early diagnosis and surgical treatment are an absolute imperative in management of this injury. We have not proven that a certain surgical technique has an advantage over the others. A comorbid risk factor is related to a lower Lysholm score. Despite a few cases of complications, we can conclude that the surgical treatment yields satisfactory results.

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 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 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 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 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. 

Incidence and Risk Factors of Acute Patellar Tendon Rupture, Repair Failure, and Return to Activity in the Active-Duty Military Population

2021 ◽  
pp. 036354652110269
Author(s):  
Donald R. Fredericks ◽  
Sean E. Slaven ◽  
Conor F. McCarthy ◽  
Marvin E. Dingle ◽  
Daniel I. Brooks ◽  
...  
Keyword(s):  
Risk Factors ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Active Duty ◽  
Fixation Method ◽  
Patellar Tendon Rupture ◽  
Military Population ◽  
Us Military ◽  
The Us ◽  
Tendon Ruptures

Background: Patellar tendon ruptures have a reported incidence of 0.68 per 100,000 person-years in the general population. The epidemiology of surgically treated patellar tendon ruptures in the US military has yet to be reported, which would provide opportunity for identification of risk factors for these otherwise healthy and active patients. Purpose: To determine the incidence of patellar tendon rupture in the Military Health System (MHS) population and to analyze demographic patterns, surgical fixation methods, and rerupture rates. Study Design: Case-control study; Level of evidence, 3. Methods: We utilized the MHS Data Repository (MDR) to identity active-duty military servicemembers surgically treated for patellar tendon rupture between 2010 and 2015. Records were reviewed for demographic information, injury characteristics, fixation technique, and occurrence of rerupture. Risk factors for rupture were calculated using Poisson regression based on population counts and demographic data obtained in the MDR. Risk factors for rerupture and return to duty were analyzed via univariate analysis and multivariate regression. Results: A total of 504 operatively treated primary patellar tendon repairs in 483 patients were identified, with an overall incidence of 6 per 100,000 person-years. Mean age was 33.6 years (range, 17-54 years) and 98% of patients were male. Fixation method was 81% bone tunnels and 7% suture anchors, and 12% were unknown. Black race had a higher relative rate ratio for rupture compared with the race categories White (9.21; P < .0001) and Other (3.27; P < .0001). The rupture rate was higher in 35- to 44-year-old patients compared with those aged 18 to 24 years ( P < .0001), 25 to 34 years ( P < .0001), and 45 to 64 years ( P = .004). Return to full previous level of activity occurred in 75.8% of patients, 14.6% returned to activity with limitations, and 9.5% were medically separated. The rerupture rate was 3%. Fixation method, tobacco usage, body mass index, and race were not significant risk factors for rerupture. Conclusion: The incidence of patellar tendon rupture in the US military population is substantially higher than has been reported in the civilian population. Among military personnel, men, Black servicemembers, and those aged 35 to 44 years were at highest risk for patellar tendon rupture. Three-quarters of patients were able to return to full activity without limitations. The rerupture rate was low and unaffected by fixation method.

Treatment of Chronic Patellar Tendon Rupture with Hamstrings Tendon Autograft

2019 ◽  
Vol 33 (08) ◽  
pp. 792-797
Author(s):  
Panagiotis Valianatos ◽  
Evgenia Papadakou ◽  
Dimitrios Erginoussakis ◽  
Dimitrios Kampras ◽  
Nikitas Schizas ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Lysholm Score ◽  
Anatomic Reconstruction ◽  
Patellar Tendon Rupture ◽  
Effective Treatment Option ◽  
Tendon Reconstruction ◽  
Hamstrings Tendon ◽  
Tendon Autograft

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.

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
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