Trapezoidal Achilles Tendon Allograft Plug for Revision Quadriceps Tendon Repair With a Large Tendon Defect

Kunze, Kyle N.; Burnett, Robert; Shinsako, Kevin K.; Bush‐Joseph, Charles A.; Cole, Brian J.; Chahla, Jorge

doi:10.1016/j.eats.2019.05.015

Cited by 7 publications

(11 citation statements)

References 11 publications

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“…Additionally, tendon-to-tendon healing was observed in the present case, which makes it difficult to compare with transpatellar techniques, including some complications (patellar stress fractures and intraarticular damage). [4,6] Regarding autografts, post-traumatic adhesions and poor tissue quality may preclude the harvest of optimal autograft. Also, the autografts have been used combined with transpatellar techniques, which require an optimal tunnel position and tunnel size matched to the autograft.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] Both repair and healing of quadriceps tears become more challenging in chronic conditions due to the massive retraction of the proximal part of rupture, which may obviate the need for tendon reconstructions. [ 4 ] Gap-filling techniques have better outcomes than primary repair in these cases. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 6 ] Currently, there is no standard effective treatment in this difficult condition. [ 4 , 7 ] Herein, we present a failed, neglected, and traumatic quadriceps rupture that previously underwent primary quadriceps repair and, then, successfully treated with suture anchor reconstruction using Achilles allograft. This case represents the first description of a novel technique using suture anchor and non-irradiated Achilles allograft in revision quadriceps tendon repair.…”

Section: Introductionmentioning

confidence: 99%

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Quadriceps reconstruction with suture anchor and Achilles allograft combination in quadriceps tendon re-rupture after primary surgical repair: A novel technique

2021

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Quadriceps ruptures are one of the pathological conditions of the knee extensor mechanism, accounting for 3% of all tendon injuries. These injuries cause substantial disability of the extensor mechanism. Primary repair is the treatment of choice in acute presentation. In the setting of chronic conditions, the treatment becomes more challenging. Available surgical options include lengthening procedures, and reconstruction with auto graft or allografts. The traditional Scuderi and Codivilla techniques are challenging to perform in degenerative or traumatic retracted ruptures. There is no standard effective treatment in these patients, which yields the best clinical and biomechanical outcomes. An 18 - year-old male patient with quadriceps re-rupture after a primary repair was managed with allograft reconstruction using suture anchors. At six years of follow-up, the patient gained a full range of motion with excellent clinical outcomes. He returned to his previous work. In conclusion, quadriceps reconstruction using suture anchor and Achilles allograft combination is a feasible technique in neglected cases who present with quadriceps tendon re-rupture after primary surgical repair.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quadriceps reconstruction with suture anchor and Achilles allograft combination in quadriceps tendon re-rupture after primary surgical repair: A novel technique

2021

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“…Unfortunately, inadequate allograft preparation may affect the restoration of the knee biomechanics despite the important Achilles Allograft resistance. 18 , 19 , 20 , 21 The critical problems during the preparation relate to mismatched dimensions; incorrect thawed, prophylaxis; bone marks and cuts; excessive bone removal; fracture of the bone block by dilation; or allograft contamination. However, support for the important use advantages of the Achilles allograft is given in Table 2 , advantages that include a standardized preparation ( Table 1 ) that helps provide adequate dimension of the allograft, 4 easy manipulation in the operative room, fast procedure, nonmorbidity by the donor site, high strength, healing advantages, multiple-ligament reconstruction capacity, potential to fill bone defects, 14 a high rate of a successful return to sports, 3 and diminished chance of graft tunnel mismatch.…”

Section: Discussionmentioning

confidence: 99%

Achilles Tendon Allograft Preparation Technique for Anterior Cruciate Ligament Reconstruction: A Technical Note

Zamorano

Yáñez-Diaz

Vergara

et al. 2021

Arthroscopy Techniques

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Several factors associated with graft preparation for the surgery of the anterior cruciate ligament (ACL) like the wrong thawed, prophylaxis, bone cuts, excessive bone removal as well as positioning problems like a tunnels-graft mismatch, insufficient harvesting of the donor's tendon, size graft limitations (length and diameter), uncontrolled rotation of graft in their longitudinal axis, over or under tensioned graft, fixation mistakes, bone defects, secondary arthrofibrosis or morbidity of the donor site, and others factors importantly affect the outcomes of the ACL surgery. In this sense, the Achilles tendon Allograft is an advantageous technique where many of the previous limitation factors described can be controlled during an appropriate preparation. However, to obtain the maximum potentialities of the graft a detailed knowledge of the preparation is required. Hence, we aimed to describe how to prepare the Achilles tendon Allograft to control the graft's length and diameter, bone removal, and fixation requirements.

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“…Tendon defect is one of the common clinical diseases (Hayashida et al, 2018 ; Kunze et al, 2019 ). After the tendon injury, it often leads to limb dysfunction, severe cases, or even disability without repairation in time (Ando et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Tissue Engineering Scaffold in Tendon Bone Healing in vivo

Mao

Fan

Wang

et al. 2021

Front. Bioeng. Biotechnol.

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Background: Tendon-bone healing is an important factor in determining the success of ligament reconstruction. With the development of biomaterials science, the tissue engineering scaffold plays an extremely important role in tendon-bone healing and bone tissue engineering.Materials and Methods: Electronic databases (PubMed, Embase, and the Web of Science) were systematically searched for relevant and qualitative studies published from 1 January 1990 to 31 December 2019. Only original articles that met eligibility criteria and evaluated the use of issue engineering scaffold especially biomaterials in tendon bone healing in vivo were selected for analysis.Results: The search strategy identified 506 articles, and 27 studies were included for full review including two human trials and 25 animal studies. Fifteen studies only used biomaterials like PLGA, collage, PCL, PLA, and PET as scaffolds to repair the tendon-bone defect, on this basis, the rest of the 11 studies using biological interventions like cells or cell factors to enhance the healing. The adverse events hardly ever occurred, and the tendon bone healing with tissue engineering scaffold was effective and superior, which could be enhanced by biological interventions.Conclusion: Although a number of tissue engineering scaffolds have been developed and applied in tendon bone healing, the researches are mainly focused on animal models which are with limitations in clinical application. Since the efficacy and safety of tissue engineering scaffold has been proved, and can be enhanced by biological interventions, substantial clinical trials remain to be done, continued progress in overcoming current tissue engineering challenges should allow for successful clinical practice.

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Trapezoidal Achilles Tendon Allograft Plug for Revision Quadriceps Tendon Repair With a Large Tendon Defect

Cited by 7 publications

References 11 publications

Quadriceps reconstruction with suture anchor and Achilles allograft combination in quadriceps tendon re-rupture after primary surgical repair: A novel technique

Quadriceps reconstruction with suture anchor and Achilles allograft combination in quadriceps tendon re-rupture after primary surgical repair: A novel technique

Achilles Tendon Allograft Preparation Technique for Anterior Cruciate Ligament Reconstruction: A Technical Note

A Systematic Review of Tissue Engineering Scaffold in Tendon Bone Healing in vivo

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