Krackow Suture Technique Effect on Patella Tendon Vascularity: Quantitative MRI Analysis

Page, Brian Joseph; Stevens, Trenton T.; Barth, Kathryn A.; Klinger, Craig E.; Dyke, Jonathan P.; Behrens, Steve B.; Dziadosz, Daniel; Lyden, John P.; DiFelice, Gregory S.; Ricci, William M.

doi:10.1097/bot.0000000000002592

Cited by 1 publication

(2 citation statements)

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“…Despite its many throws, the Krackow technique has been shown to not markedly alter the vascularity of the tendon on advanced imaging. 35 To avoid transosseous tunnels, repair can also be performed using suture anchors in place. Capiola et al describe a technique using suture anchor fixation to the inferior pole of the patella with tendon fixation using a 6strand Krackow technique.…”

Section: Figurementioning

confidence: 99%

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Acute Patellar Tendon Ruptures: An Update on Management

Brinkman,

Reeson,

Chhabra

2024

JAAOS Glob Res Rev

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Patellar tendon ruptures can be debilitating injuries. When incomplete, partial tears can be managed nonsurgically with immobilization and progressive rehabilitation. Although complete ruptures remain a relatively uncommon injury, they portend a high level of morbidity. Ruptures typically result from an acute mechanical overload to the extensor mechanism, such as with forced quadriceps contraction and knee flexion. However, chronically degenerated tendons are also predisposed to failure from low-energy injuries. Diagnosis can often be made clinically with recognition of a palpable defect to the tendon, localized patellar tendon tenderness, and inability to actively extend the knee. Diagnosis and surgical planning can be established with radiograph, ultrasonography, or magnetic resonance imaging. Surgical repair is the mainstay of treatment, and there have been many recent advances in repair technique, optimal reconstruction strategies, and supplemental fixation. Time to surgery for complete tears remains the most important prognosticator for success. Direct primary repair can be completed with transosseous tunnels, suture anchor repair, or end-to-end repair. Tendon reconstruction can be achieved with or without mechanical or biologic augments. Rehabilitation programs vary in specifics, but return to sport can be expected by 6 months postoperatively.

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Section: Figurementioning

confidence: 99%

“…Despite its many throws, the Krackow technique has been shown to not markedly alter the vascularity of the tendon on advanced imaging. 35 …”

Section: Complete Thickness Rupturementioning

confidence: 99%