Late reconstruction of the patellar tendon in rheumatoid arthritis using bone-patellar tendon-bone allograft

Abstract

HighlightsA lady with rheumatoid arthritis had a chronic patellar tendon rupture.She underwent patellar tendon reconstruction with a massive BTB allograft.She now has an active range of motion between −20 and 120°.

Clinical Outcomes are Similar Between Graft Types Used in Chronic Patellar Tendon Reconstruction: A Systematic Review

“…Forty-eight studies were sent for data extraction after the screening process (Fig 1). Two studies were excluded because of insufficient reporting of patient demographics and outcomes, 18,33 two studies were excluded due to inadequate follow-up, 6,16 and 35 studies were excluded due to being level V evidence, 4,5,7,[9][10][11][12][13]15,[17][18][19][20]22,24,25,[27][28][29][30][31][33][34][35][36][37][38][39][40][41][42]44,[46][47][48][49][50] leaving 9 studies for inclusion in our review. 3,8,14,21,23,26,32,…”

“…Forty-eight studies were sent for data extraction after the screening process ( Fig 1 ). 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 Two studies were excluded because of insufficient reporting of patient demographics and outcomes, 18 , 33 two studies were excluded due to inadequate follow-up, 6 , 16 and 35 studies were excluded due to being level V evidence, 4 , 5 , 7 , 9 , 10 , 11 , 12 , 13 , 15 , 17 , 18 , 19 , 20 , 22 , 24 , ...…”

Staged patellar tendon reconstruction using doubled bone-patellar tendon-bone allograft for infected patellar tendon rupture: a rare case report of three years follow-up

“…Temponi et al [ 25 ] reported a good surgical outcome by using contralateral BPTB autograft in chronic patellar tendon rupture. And reconstruction using BPTB allograft in patients with rheumatoid arthritis was introduced [ 20 ]. However, existing methods to affix the bone block cannot be free from the disadvantages of having patellar fracture and wide anterior knee involvement such as osteotomy of the patella [ 17 , 26 ].…”