Quadriceps tendon rupture - treatment results

Popov, I V; Ristić, Vladimir; Maljanović, Mirsad; Milankov, Vukadin

doi:10.2298/mpns1312453p

Cited by 8 publications

(13 citation statements)

References 19 publications

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“…Metoda izbora je rano operativno lečenje. Ključne reči: Tetive; Ruptura; Ishod lečenja; Tetiva čašice kolena; Rana dijagnoza; Rekonstruktivne hirurške procedure; Faktori rizika; Opseg pokreta zgloba A patellar tendon rupture occurs most often at its patellar insertion or at the middle of the tendon [2,[5][6][7][8]. In younger patients, this injury occurs because of repeated microtrauma or as a result of taking out medial part of the tendon during anterior cruciate ligament (ACL) reconstruction procedure.…”

Section: Sažetakmentioning

confidence: 99%

Patellar tendon rupture - treatment results

et al. 2015

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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.

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Section: Sažetakmentioning

confidence: 99%

Patellar tendon rupture - treatment results

et al. 2015

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“…Both uni-and bilateral ruptures were included. As reported by Popov et al (22), this was another factor that could possibly affect the results. Bilateral ruptures were found to have better outcomes than unilateral.…”

Section: Discussionmentioning

confidence: 68%

Quadriceps tendon rupture. Anchor or transosseous suture? A systematic review

Hochheim

Bartels

Iversen

2019

Muscle Ligaments and Tendons J

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Introduction. When dealing with ruptures at the tendon-bone junction either transosseous sutures(TS) or anchor fixation(AF) are the most well described methods of repair. The aim of this study was to compare these two surgical methods by carrying out a systematic review of the existing literature. Methods. A systematic search of bibliographic databases to identify studies using either TS or AF for patients with QTR, with outcome measures being either range of motion(ROM), extension lag(EL), re-rupture(RR) and/or Lysholm score(LS). Results. The AF group included 3 studies containing 45 patients. The postoperative outcomes reported were a ROM average of 128,5°, and 3 EL (6,7%) and 2 RR were reported(4,4%). 2 postoperative LS showed an average of 88,9. The TS group included 2 studies containing 32 patients. One study reported an average ROM postoperatively of 138°, one a ROM under 120° postoperatively in 2 out of 14 QTRs, 3 EL (13%), no RR and one postoperative LS of 94 in 8 patients. Conclusion. This study implies a slight postoperative advantage when using transosseous sutures compared to anchor fixation. However, given a low patient count and a lack of statistical power, no conclusion on the optimal surgical method for QTR can be made.

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“…Fourteen studies met inclusion and exclusion criteria and were included in the present review (Table 1). 3,[10][11][12][13][14][15][16][17][18][19][20] The articles included were published between 1977 and 2015. The evaluation of the quality of the included articles revealed that there were two retrospective studies and twelve case reports (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The evaluation of the quality of the included articles revealed that there were two retrospective studies and twelve case reports (Table 1). 15,18 Only patients that presented a BEM rupture were considered and included in this review. 18 The average modified CMS was 37,6 (range from 13 to 53) ( Table 1).…”

Section: Resultsmentioning

confidence: 99%