Use of hamstring autograft to reconstruct the patellar tendon after endoprosthetic replacement of the proximal tibia for bone sarcomas.

Autor: Madi NS; Division of Orthopaedic Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon., Masrouha KZ, Haidar RK, Saghieh SS
Jazyk: angličtina
Zdroj: Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2020 Sep; Vol. 29 (5), pp. 510-513.
DOI: 10.1097/BPB.0000000000000656
Abstrakt: The surgical treatment of bone sarcoma involves wide surgical resection and endoprosthetic replacement. Surgical resection for proximal tibia bone sarcoma includes the patellar tendon. The secondary extension lag is a common complication and, although many have been described, the options for reconstruction of the patellar tendon are suboptimal. We propose adding a biological reinforcement, the hamstring tendons, to our extensor mechanism reconstruction technique (polyprolene mesh and gastrocnemius flap). We describe the surgical technique and, using an illustrative case, compare the outcome of this technique with the outcome following reconstruction without reinforcement. Level of evidence: Level III.
Databáze: MEDLINE