Treatment of chronic disruption of the patellar tendon in Osteogenesis Imperfecta with allograft reconstruction

Elguindy, Ahmed; Lustig, Sébastien; Servien, Elvire; Fary, Camdon; Weppe, Florent; Demey, Guillaume; Neyret, Philippe

doi:10.1016/j.knee.2010.03.005

Cited by 26 publications

(20 citation statements)

References 11 publications

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“…Several alternative techniques have been reported, but no large series exist and late treatment of patellar tendon rupture is still controversial. Contralateral bone-tendon-bone graft, 5 ipsilateral gracilis and semitendinosus graft,1, 6 artificial ligament,7, 8 and allograft9, 10 have been described for this surgical procedure. The influence of graft choice on knee function has not been evaluated.…”

Section: Discussionmentioning

confidence: 99%

Patellar Tendon Reconstruction Using Hamstring Tendon and Adjustable Suspensory Cortical Fixation

Ovigue

Graveleau

Bouguennec

2019

Arthroscopy Techniques

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Chronic patellar tendon rupture is a rare injury; extensor mechanism impairment leads to great disability in daily life. The delayed diagnosis and reconstruction of chronic patellar tendon ruptures are technically challenging. Numerous surgical procedures have been described with bone-tendon-bone graft, hamstring graft, artificial ligament, and allograft. We describe safe, reproducible anatomic reconstruction of the patellar tendon using hamstring tendon and adjustable suspensory fixation. After harvesting of the hamstrings, the graft is prepared with 2 adjustable suspensory fixation devices. Then, a complete tibial tunnel and a patellar tunnel with a socket are drilled with the appropriate diameter, and the graft is pulled through the tunnels. Finally, the suspensory fixation devices on the tibial and patellar sides are tensioned. The aim of this procedure is to obtain complete mobility of the knee, using a procedure similar to anterior cruciate ligament reconstruction in graft preparation.

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Section: Discussionmentioning

confidence: 99%

Patellar Tendon Reconstruction Using Hamstring Tendon and Adjustable Suspensory Cortical Fixation

Ovigue

Graveleau

Bouguennec

2019

Arthroscopy Techniques

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“…Several methods have been described, simple re-approximation of torn ends and direct repair augmented by cerclage wire was successfully employed by Casey and Tietjens, 3 other authors 4 have used circular wire through patellar and tibial tunnels. Milankov et al 5 used contralateral bone-patellar tendon-bone graft, further more used bone-patellar tendonbone allografts, Lewis P et al 6 used Achilles tendon allografts 7 and Fukuta S et al 8 used synthetic materials in reconstruction of patellar tendon yielding satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

Neglected Patellar Tendon Rupture : Reconstruction Using Ipsilateral Semitendinosus and Gracilis Tendon Grafts and Ethibond Augmentation

Reddy¹,

Madhusudhana²,

Narendra³

2015

jebmh

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Neglected rupture of the patellar tendon is a rare disabling injury that is technically difficult to manage. Many different surgical techniques have been described for reconstruction of the disrupted extensor mechanism of the knee. In this study we describe an improved technique for the reconstruction of patellar tendon using semitendinosus and gracilis tendon grafts preserving their tibial insertion distally and Ethibond suture augmentation instead of stainless steel wire having the added advantage of no further operative intervention needed for removal. MATERIALS AND METHODS: The study included 9 patients (7 male & 2 female) with mean age of 40.2 years (+/-2 SD) presented with pain, instability, difficulty in carrying out Activities of Daily Living (ADL) associated with neglected patellar tendon injury. The time since injury ranged from 3months to 2years. All the patients had loss of active extension, extensor lag between 30 0 to 50 0 with an average of 41.1 0 (+/-2 SD) and severe functional limitation of ADL. All the patients underwent patellar tendon reconstruction using semitendinosus and gracilis tendon grafts. The functional outcome was assessed using Lysholm Knee Score, Visual Analogue Score (VAS) and IKDC scoring system. RESULTS: Post-operatively with an average follow-up of 19 months (+/-2 SD) all the patients had decreased amount of pain, stable knee with active extension of knee without any extension lag with flexion up to 110 0 (90 0-125 0). Out of 9 patients 7 had good and two had fair functional outcome with improvement in ADL with the IKDC score of 83.5 (+/-SD), Lysholm Knee Score 90.8 (+/-SD) and no/little pain on Visual Analogue Scale. CONCLUSION: The results of our study shows that the use of ipsilateral semitendinosus and gracilis tendon grafts preserving their insertions on tibia distally for reconstruction of neglected patellar tendon ruptures along with Ethibond suture augmentation provides good knee stability and functional improvement in ADL without need for allograft or prosthetic material. The use of Ethibond suture instead of stainless steel wire has added advantage of no further operative intervention needed for its removal.

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“…Nie są zna ne do kład ne da ne epi de mio lo gicz ne często ści wy stę po wa nia uszko dzeń wię za dła rzep ki, a więk szość opu bli ko wa nych uszko dzeń to opi sy poje dyn czych przy pad ków [3][4][5][6][7][8][9][10][11][12]. Do mi nu ją ze rwa nia ostre, któ re są na tych miast za opa try wa ne.…”

Section: Wstępunclassified

“…There are no exact epidemiological data regarding the incidence of patellar tendon injuries, and the majority of publications describe only isolated cases of injuries [3][4][5][6][7][8][9][10][11][12]. Acute ruptures, which are attended to immediately, prevail.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of chronic patellar tendon rupture with semitendinosus tendon: case report.

Jabłoński¹,

Jarmuziewicz²,

Drużbicki³

2011

Ortopedia, traumatologia, rehabilitacja

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Chronic patellar tendon rupture is a rare injury whose treatment poses technical difficulties. Surgical repair is mandatory to restore the extensor mechanism of the knee. Many different surgical methods of patellar tendon reconstruction have been described. We present the case of a 48-year-old male patient who sustained patellar tendon rupture 8 months before surgery. A semitendinosus tendon graft and the modified Ecker technique were used for the reconstruction of the patellar tendon. Full extension was achieved alongside high patient satisfaction. However, the patient required prolonged intensive rehabilitation.

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Treatment of chronic disruption of the patellar tendon in Osteogenesis Imperfecta with allograft reconstruction

Cited by 26 publications

References 11 publications

Patellar Tendon Reconstruction Using Hamstring Tendon and Adjustable Suspensory Cortical Fixation

Patellar Tendon Reconstruction Using Hamstring Tendon and Adjustable Suspensory Cortical Fixation

Neglected Patellar Tendon Rupture : Reconstruction Using Ipsilateral Semitendinosus and Gracilis Tendon Grafts and Ethibond Augmentation

Reconstruction of chronic patellar tendon rupture with semitendinosus tendon: case report.

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