Distal Femoral Replacement and Extensor Mechanism Repair Reinforced With Synthetic Mesh for Distal Femur Fracture With Patellar Ligament Avulsion.

Autor:	Powell C; Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, TN, USA., Sanders K; Department of Orthopaedic Surgery, Erlanger Health System Center, Chattanooga, TN, USA., Huang N; Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, TN, USA., Colón LF; Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, TN, USA., Norton C; Department of Orthopaedic Surgery, University of Tennessee at Chattanooga, Chattanooga, TN, USA.
Jazyk:	angličtina
Zdroj:	Arthroplasty today [Arthroplast Today] 2022 May 23; Vol. 16, pp. 31-38. Date of Electronic Publication: 2022 May 23 (Print Publication: 2022).
DOI:	10.1016/j.artd.2022.04.001
Abstrakt:	Acute patellar ligament disruption in the setting of a distal femur fracture is an uncommon presentation with a variety of treatment options available to the practitioner. The following case report presents an 85-year-old female with a highly comminuted supracondylar distal femur fracture with intercondylar extension and a soft-tissue avulsion of the patellar ligament insertion discovered intraoperatively. A detailed technique review for acute patellar ligament repair with suture anchors and synthetic mesh reinforcement in the setting of distal femoral replacement is then provided. One-year follow-up revealed an intact extensor mechanism with minimal extensor lag and a painless gait. Surgeons faced with such a unique, complex problem may consider mesh augmentation of an acute patellar ligament repair while performing distal femoral replacement.
Databáze:	MEDLINE
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