“…This last has diagnostic, therapeutic and prognostic interest. It confirms the rupture, appreciate the residual tendinous stump prejudging its biomecanic value [10] [11]. from the diagnostic precocity and the rapidity of the immediate therapeutic care depend the functional prognostic.…”
Defined as a continuity solution on the muscular-osseous-tendinous chain of the knee, ensuring the extension of the leg on the thigh, the traumatic rupture of the knee's extensor apparatus is often reported in literature. They are dominated by patellar fractures. The patellar or quadricipital tendon damage is rare and even exceptional in a bilateral topography. The aim of this work was to highlight the clinical case of bilateral rupture of the patellar tendon of late diagnosis, occurring in an adult with a particular field. It was an adult, who presented a bilateral rupture of the knee extensor apparatus following a minimal traumatism. Anamnesis found a chronic kidney disease correctly follow-up. The diagnosis was delayed so was the surgical management (Krackow's technique and protection by a metallic frame). At 8 months post surgery the functional result is acceptable. The bilateral rupture of the patellar tendon stays a rare pathologic entity, which always seems associated at a particular field. The diagnosis delay (and so did the care) is an important bad prognosis factor. Treatment of this old form (unknown) is exclusively surgical.
“…This last has diagnostic, therapeutic and prognostic interest. It confirms the rupture, appreciate the residual tendinous stump prejudging its biomecanic value [10] [11]. from the diagnostic precocity and the rapidity of the immediate therapeutic care depend the functional prognostic.…”
Defined as a continuity solution on the muscular-osseous-tendinous chain of the knee, ensuring the extension of the leg on the thigh, the traumatic rupture of the knee's extensor apparatus is often reported in literature. They are dominated by patellar fractures. The patellar or quadricipital tendon damage is rare and even exceptional in a bilateral topography. The aim of this work was to highlight the clinical case of bilateral rupture of the patellar tendon of late diagnosis, occurring in an adult with a particular field. It was an adult, who presented a bilateral rupture of the knee extensor apparatus following a minimal traumatism. Anamnesis found a chronic kidney disease correctly follow-up. The diagnosis was delayed so was the surgical management (Krackow's technique and protection by a metallic frame). At 8 months post surgery the functional result is acceptable. The bilateral rupture of the patellar tendon stays a rare pathologic entity, which always seems associated at a particular field. The diagnosis delay (and so did the care) is an important bad prognosis factor. Treatment of this old form (unknown) is exclusively surgical.
“…Plusieurs techniques de reconstruction ont été proposées, par tissu synthétique [12,13] ou plus fréquemment par autogreffes utilisant le tendon semitendinosus seul [14] ou associé au gracilis [15] et le tendon patellaire controlaté-ral [1,11], mais aussi par allogreffes tendineuses, utilisant les tendons achilléens [3,4,8,16]. La technique du greffon os-tendon patellaire-os controlatéral consiste en un apport composite « tendon quadricipital, patella, tendon patellaire et tibia » permettant de reconstruire l'appareil extenseur et de positionner automatiquement la patella à la bonne hauteur.…”
“…Kronik patellar tendon rüptürünün tedavisinde birçok rekonstruksiyon tekniği mevcuttur: sentetik materyaller, sadece semitendinosus veya grasilisle ve/veya karşı taraf patellar tendonla birlikte otogreft veya aşil tendonu allogrefti kullanılabilir (1,3,4,8,(9)(10)(11)(12)(13)(14)(15)(16). Özellikle karşı taraf kemik-patellar tendon-kemik greftiyle yapılan rekonstrüksiyonda, kuadriseps tendonu, patella, patellar tendon ve tibia kullanıldığı için daha anatomik ekstansor mekanizma rekonstruksiyonu sağlanır.…”
Araştırmalar / Researches ÖZET Kronik patellar tendon rüptürünün semitendinozus ve grasilis otogreftleriyle rekonstruksiyon sonuçları Amaç: Bu çalışmada kronik patellar tendon rüptürü olgularının semitendinozus ve grasilis tendon otogreftleri ile rekonstruksiyonlarının sonuçları değerlendirilmiştir. Gereç ve Yöntem: Kliniğimizde ihmal edilmiş patellar tendon rüptürü nedeniyle hamstring tendonlarıyla rekonstrüksiyon yapılan altı hasta retrospektif olarak değerlendirildi. Hastaların son takiplerindeki durumları Lysholm skoru, fizik muayene, kas gücü ve hareket açıklığı ile değerlendirildi. Bulgular: Hastaların hepsi kadındı, ortalama yaş 57.1(49-62), başvuruya kadar geçen ortalama süre 12.8 ay (11-15), ortalama takip süresi 17.8 (11-26) aydı. Ortalama Lysholm skoru 82 bulundu. Tüm hastalarda tam ekstansiyon ve ortalama 110° fleksiyon ve 5/5 kas gücü mevcuttu. Sonuç: Kronik patellar tendon rüptürü tedavisinde semitendinozus otogrefti kullanımı, donor bölge morbiditesini azaltır, allogreftle ilgili riskleri içermez ve rekonstrukte tendonu korumak amaçlı kullanılan materyalleri çıkarmak için ikinci bir cerrahiye gereksinim oluşturmaz.
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