Bilateral Extensor Mechanism Allograft Reconstruction for Chronic Spontaneous Rupture: A Case Report and Review of the Literature.

Autor: Lamberti A; IFCA, Istituto Fiorentino di Cura e Assistenza, Florence, Italy., Loconte F; Ospedale di Ostuni, Ostuni, Italy., Spinarelli A; Ospedale Policlinico Università di Bari, Piazza Giulio Cesare, Bari, Italy., Baldini A; IFCA, Istituto Fiorentino di Cura e Assistenza, Florence, Italy.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2019 Apr-Jun; Vol. 9 (2), pp. e0058.
DOI: 10.2106/JBJS.CC.18.00058
Abstrakt: Case: A 51-year-old woman, affected by end-stage renal disease, presented with 16-month-old ruptures of the right patellar tendon and the left quadriceps tendon. Since she had been nonambulatory for more than a year, the authors decided to perform a bilateral one-staged reconstruction with an Achilles tendon allograft on the right side and a full extensor mechanism allograft on the left side, achieving excellent clinical and functional results at 57 months' follow-up.
Conclusions: Bilateral spontaneous rupture of the extensor mechanism of the knee is a rare but dramatic occurrence. Allograft can be considered as a treatment option in case of chronic lesion or delayed reconstruction, with satisfactory midterm outcomes.
Databáze: MEDLINE