Polyethylene terephthalate tape augmentation as a solution in recurrent quadriceps tendon ruptures

Abstract

Quadriceps tendon rupture is a severe and demanding problem in knee surgery, especially when it is recurrent and when elderly patients are involved. It can have a devastating impact when it is a complication following knee arthroplasty. There are many procedures for dealing with this problem, but none of them offer reliable results. The most popular methods of treatment are traditional transosseous sutures and suture anchors, often in combination with semitendinosus augmentation. In cases of osteoporotic bone or hamstring insufficiency, these solutions are not appropriate. One way to manage quadriceps tendon rupture is to use polyethylene terephthalate tape (poly tape) as scaffolding for tissue ingrowth. Because of its structure, poly tape provides adequate strength and allows early mobilization. Besides being durable, multifilament high tenacity polyethylene terephthalate is flexible. Poly tape augmentation is particularly recommended in the following cases: recurrent rupture of the quadriceps tendon; extensor apparatus damage following total knee arthroplasty (TKA); delayed diagnosis of quadriceps tendon rupture; and in elderly patients (with weak bones and poor ligament quality). The surgical technique is simple and the procedure has a low complication rate. There have been many studies confirming the security of polyethylene terephthalate use in the human body. There is also a great deal of evidence concerning tissue ingrowth in the mesh structure of poly tape. Allergic reactions and inflammatory responses are rare. Cite asLeciejewski M, Królikowska A, Reichert P. Polyethylene terephthalate tape augmentation as a solution in recurrent quadriceps tendon ruptures.

Short‐ and long‐term outcomes of polyethylene band attenuation of congenital extrahepatic portosystemic shunts in dogs: 60 cases (2010‐2020)

“…Use of polyethylene was reported in 1948 as a film for achieving gradual attenuation of large vessels in human patients (Yeager & Cowley 1948) and then for gradual occlusion of the portal vein dogs (Stone & Murphy 1949). Subsequently, this polymer has been widely used in surgery as sheets for hernia repair (Yeager & Cowley 1948, Collins 1965, tape for tendon augmentation (Leciejewski et al 2018) and as suture material for complete ligation of CEHPSSs (Bristow et al 2019). The terms "polythene", "polyester" and "cellophane-polythene" have been previously used to describe polyethylene (Yeager & Cowley 1948, Tan et al 2003.…”

“…Subsequently, this polymer has been widely used in surgery as sheets for hernia repair (Yeager & Cowley 1948 , Collins 1965 ), tape for tendon augmentation (Leciejewski et al . 2018 ) and as suture material for complete ligation of CEHPSSs (Bristow et al . 2019 ).…”

Fibrous Systems as Potential Solutions for Tendon and Ligament Repair, Healing, and Regeneration

“…Commercial woven fibrous devices made of poly(ethylene terephthalate) (PET) (e.g., Leeds‐Keio ligament or Ligament Advanced Reinforcement System) and stretched poly(tetrafluoroethylene) (Gore‐Tex) have been widely implanted as tissue reinforcements and replacements. [ 115–120 ] Conditionally approved by the Food and Drugs Administration (FDA), they have the capacity to replace and protect the injured tissue, preventing osteoarthritis and allowing the ingrowth of new tissue without risk of cross‐infection, while restoring the joint stability. [ 121 ] The Leeds‐Keio (LK) ligament (Neoligaments Ltd., UK), a cylindrical woven structure made of fibers of PET, was introduced and applied in the clinical practice in the 1980s and 1990s, counting over 50 000 implantations all over the word.…”

The use of bioabsorbable compression screws & polyethylene tension band for fixation of displaced olecranon fractures

“…These tapes provide intrinsic strength, allowing the repaired construct to act against tensile forces. 16 Neoligaments™ are an open-weave mesh implant which act as a scaffold, allowing tissue ingrowth. 17 We present a retrospective case series of five displaced intra-articular olecranon fractures who underwent open reduction internal fixation using a magnesium-based bioabsorbable compression screw with polyethylene tension band construct.…”