Patellar Tendon Repair With Suture Anchors Using a Combined Suture Technique of a Krackow-Bunnell Weave

Gaines, Robert J.; Grabill, Scott E; DeMaio, Marlene; Carr, Donald J.

doi:10.1097/bot.0b013e318191c353

Cited by 27 publications

(26 citation statements)

References 9 publications

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“…Although primary repair through transpatellar suture tunnels has traditionally been used to treat patellar tendon rupture, there are some problems, such as iatrogenic quadriceps injury, tendon shortening, and loosening through the tunnels [13]. In our case, primary repair with suture anchors was performed because of the smaller incision, shorter operation time, faster rehabilitation and stronger pullout strength of suture anchors than the traditional method [13,14].…”

Section: Discussionmentioning

confidence: 83%

Concurrent bilateral patellar tendon rupture in a preadolescent athlete: a case report and review of the literature

Kim

Park

Roh

et al. 2010

Journal of Pediatric Orthopaedics B

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Concurrent bilateral patellar tendon rupture in preadolescence is a very rare condition. It is mostly associated with systemic disease or steroid use in adults. We report a case of 12-year-old boy, who had bilateral patellar tendon rupture, treated with nonabsorbable synthetic suturing with titanium osseous anchors. Moreover, we discuss the causes of patellar tendon rupture, diagnostic clues and surgical options.

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Section: Discussionmentioning

confidence: 83%

Concurrent bilateral patellar tendon rupture in a preadolescent athlete: a case report and review of the literature

Kim

Park

Roh

et al. 2010

Journal of Pediatric Orthopaedics B

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“…Recently, improved suture material and bone anchor techniques have provided sufficient strength for early mobilization after patellar tendon repair, as shown both in biomechanical studies and clinical applications. 19,20 However, bone anchors are not recommended for inferior pole avulsion fractures, because the purchase of a bone anchor depends on having an intact cortex. 20 Saltzman et al evaluated the results of pole resection, but that study did not include only avulsion fractures but rather included all fractures for which partial patellectomy had been performed.…”

Section: Discussionmentioning

confidence: 99%

“…19,20 However, bone anchors are not recommended for inferior pole avulsion fractures, because the purchase of a bone anchor depends on having an intact cortex. 20 Saltzman et al evaluated the results of pole resection, but that study did not include only avulsion fractures but rather included all fractures for which partial patellectomy had been performed. 15 Pelzl evaluated the results for sixty-four patients with comminuted fractures.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Inferior Patellar Pole Avulsion Fractures

Joshi¹,

Dwivedi²,

Byanjankar³

et al. 2016

J Lumbini Med Coll

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Introduction: The optimal treatment for inferior pole patella avulsion fractures has still been a topic of debate. The options include (a) internal fixation of the pole fragment and (b) resection of the avulsed fragment and repair of the patellar ligament to the patella. We present the comparative outcomes for patients with displaced inferior pole patella treated by resection and transosseous Ethibond® Krackow suture repair of patellar ligament with open reduction and internal fixation with modified tension band wiring and circumferential wiring. Methods: During a three year period between August 2013 and September 2016, twenty consecutive patients with distal pole fractures of the patella were prospectively enrolled in this study. These patients were divided into two groups. Group-T patients were treated with open reduction and internal fixation with modified tension band wire and group-R patients by resection of the avulsed fragment and reattachment of the patellar ligament to the patella with #5 Ethibond®. Data entry and analysis was done by using SPSS version 20. Anatomical and functional outcome were compared. Results: Consecutive 20 patients were treated either with resection lower patellar pole (n=10) or with open reduction internal fixation with tension band wiring (n=10). Demographics were matched in two groups. Group-T required a longer hospital stay (U=13.5, p=0.005). Complications were seen more often in Goup-T compared to Group-R (p=0.005). Group-R had better scores (Bostman score U=6, p=0.001; SFMA U=7.5, p=0.001) and range of movement (p<0.05). Conclusion: Resection of the avulsed fragment and reattachment of the patellar ligament to the patella had better outcome according to the Bostman and SFMA dysfunction score, shorter hospital stay, and less complications as compared to open reduction and internal fixation with tension band wire and circumferential wiring.

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“…Advances in suture material strength and bone anchor techniques have provided sufficient strength for early mobilization after patellar tendon repair [3,4]. However, in patella fractures with distal comminution or avulsion fractures, bone anchors are not recommended because the purchase of the bone anchor depends on having an intact cortex [4].…”

Section: Discussionmentioning

confidence: 99%

“…However, in patella fractures with distal comminution or avulsion fractures, bone anchors are not recommended because the purchase of the bone anchor depends on having an intact cortex [4]. In cases where there is no intact cortex or insufficient bone stock is present, excising the bone fragments with attachment of the patellar tendon by transosseous pull out suture also requires a considerable period of immobilization of the knee in order for healing to occur due to the weakness of synthetic non-absorbable sutures [5].…”

Section: Discussionmentioning

confidence: 99%

A novel technique for repairing a segmental patella fracture

Bhagat¹

2018

Int J Case Rep Images

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Fractures of the patella occur from either a direct impact or eccentric contraction of the extensor mechanism. Treatment is dependent on the fracture pattern, displacement, articular surface congruity, and the status of the patient's extensor mechanism. Several techniques have been described for patellar fracture fixation. Case Report: We present a case of a 60-year-old female that had a segmental fracture of the patella that included a small distal pole fragment. Initially, the fracture was fixed with lag screw fixation of the two major fragments. Subsequently, the small inferior pole fragment was fixed to the proximal construct with three-bone tunnel suture fixation technique. Conclusion:This stable construct enabled us to start the patient on an early range of motion exercise program and has resulted in a good functional result at second-year follow-up. To our knowledge, this type of bony construct has not been reported before.

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Patellar Tendon Repair With Suture Anchors Using a Combined Suture Technique of a Krackow-Bunnell Weave

Cited by 27 publications

References 9 publications

Concurrent bilateral patellar tendon rupture in a preadolescent athlete: a case report and review of the literature

Concurrent bilateral patellar tendon rupture in a preadolescent athlete: a case report and review of the literature

Outcome of Inferior Patellar Pole Avulsion Fractures

A novel technique for repairing a segmental patella fracture

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