Traitement des ruptures totales du tendon rotulien

Boggione, C.; Marmorat, J.-L.

doi:10.1016/s0762-915x(04)97406-2

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…Several techniques have been previously described for repair which need to be used on a case-by-case basis 13 and in general, simple sutures are not biomechanically sound to allow for early motion. They need to be protected through one or several augmentation techniques using non-resorbable sutures instead of a metallic frame 9 although in our series we found 33.3% of cases involved a steel wire frame. This augmentation technique is not without drawbacks.…”

Section: Discussionmentioning

confidence: 57%

“…Clinically, patients present with acute knee pain, edema, and functional impairment and especially a palpable patellar gap and a failure to maintain active knee extension on physical examination. 9 Plain X-rays could reveal "patella alta" 10 The use of complementary diagnostic imaging such as ultrasound and MRI is necessary if there is surrounding diagnosis and allows associated injury assessment 11,12 as evidenced by our study.…”

Section: Discussionmentioning

confidence: 79%

“…Also its tendency to tilt the patella in the sagittal plane, or even to lower it. 9 We also carried out an autologous tendon reinforcement using semitendinosus in 33.3% of cases as reported by many authors although we found large variety of autologous reinforcement techniques in literature (semi-tendinous, gracilesemitendinosus (GST) graft, fascia lata...). As in our series, most authors advocate postoperative immobilization, 15 although a select few have reported excellent result with early motion.…”

Section: Discussionmentioning

confidence: 98%

“…When the diagnosis of patellar tendon rupture is made, surgical repair should be considered regardless of the time of the rupture. 9 Several techniques have been previously described for the repair which need to be used on a case-by-case basis. 13 Surgical exploration during repair found rupture: close to the patella border in 33.3%, midsubstance tear 33.3%, and a complete tear near the TT in 25% of cases.…”

Section: Discussionmentioning

confidence: 99%

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Patellar tendon rupture

Soumaré¹,

Marzouki²,

Sidibe³

et al. 2018

MOJOR

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Patellar tendon rupture is a rare pathology with few cases series reported in literature. The aim of this study is to describe the epidemiological, clinical profile of patellar tendon ruptures as well as its operative management and outcome. We carried out a retrospective descriptive study involving 11 cases of patellar tendon rupture managed between 2012 and 2018 at the department of Traumatology and Orthopedic surgery A of Hassan II Teaching Hospital, Fez. It is an infrequent injury potentially occurring at any age in life with a clear predominance in young male adults. All cases pertain to an acute post-traumatic rupture. Diagnosis was made preoperatively on physical examination in most patients. Surgery found a full body mid substance ruptures in most cases with a distal tear only in the 33.3% of cases. Surgery is the mainstay treatment. It involves repair using vicryl 2sutures reinforced by a wire frame in most cases patients: transosseous sutures augmented with a steel wire frame or an autologous semitendinosus graft. Functional outcomes were evaluated using Swik's criteria, with 58.3% cases exhibiting excellent or good results. Thus the authors conclude that acute patellar tendon ruptures affect mainly young active males with surgery being the mainstay treatment that guarantees favorable outcome depending on the time of repair and postoperative patella height.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Patellar tendon rupture

Soumaré¹,

Marzouki²,

Sidibe³

et al. 2018

MOJOR

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“…It is mostly complete and mainly affects the tip of the patella (43%) (Ait Si Selmi et al 1999 ). Acute ruptures occur in young (less than 40 years) (Boggione & Marmorat 2004 ; Siwek & Rao 1981 ), male (Clayton & Court-Brown 2008 ; Shelbourne et al 2001 ) and athletic subjects with chronic tendinopathy-related strain injuries (Roudet et al 2015 ) (56% sports accidents in Roudet et Al. series ( 2015 )).…”

Section: Introductionmentioning

confidence: 99%

Biomechanical cadaveric comparison of patellar ligament suture protected by a steel cable versus a synthetic cable

Bouget¹,

Brèque

Beranger

et al. 2017

J EXP ORTOP

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BackgroundPurpose and hypothesis: Patellar ligament rupture is a rare disabling pathology requiring a surgical ligament suture protected by a frame. The gold standard is the steel cable, but its rigidity and the necessity of a surgical re-intervention for its removal render it unsatisfactory. The objective of this paper is to quantify the mechanical protection provided by the terylene® in comparison with steel.MethodsTwenty-four knees of 12 fresh frozen cadaveric subjects were divided into 2 homogeneous groups (terylene and steel) of 12 knees (mean age = 69.3 years). Proximal ligament repair was performed according to a three-tunnel transosseous reinsertion technique. Mechanical tests were performed in flexion to simulate movement of the knee. The interligament gap and the amplitude angulation of the knee were measured by a system of extensometer and optical goniometer. Mechanical analysis permitted calculation of flexion amplitude for a ligament gap of 1 and 2 mm taking as initial angle the adjusting angle of pretension of the protection frame. Study of deformations of frames was performed. Statistical analysis was performed with a Wilcoxon Mann Whitney test.ResultsThere is no significant difference in protection of the ligament suture between the “terylene” and “steel” groups. Mean flexion amplitudes (mΔF) show no significant differences between the 2 groups for a distension of the suture of 1 mm (m ΔF terylene1 = 4.74 °; mΔF steel1 = 5.91°; p = 0.198) and 2 mm (mΔF terylene2 = 8.71°; mΔF steel2 = 10.41°; p = 0.114). Elastic deformation of terylene was significantly greater than that of steel (p = 0.0004).ConclusionSuture protection of the patellar ligament by a terylene wire is not significantly different from that provided by steel frame. The elastic properties of terylene and absence of a need for re intervention to secure its removal lead us towards its use in acute ruptures of the patellar ligament. The main limits involve the properties of the chain extenders with no contraction/muscle shortening and partial dehydration of tendons and ligaments and the mean age of 69.3 years.Level 5.Electronic supplementary materialThe online version of this article (doi:10.1186/s40634-017-0084-6) contains supplementary material, which is available to authorized users.

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