Bilateral Patellar Tendon Rupture Following Total Knee Arthroplasty in a Patient With Alkaptonuria: A Case Report.

Autor: Lazaro JS; Orthopedic Surgery, Jefferson Health New Jersey, Stratford, USA., Lutz R; Orthopedic Surgery, Jefferson Health New Jersey, Stratford, USA., Deirmengian GK; Orthopaedic Surgery, Rothman Orthopaedic Institute, Philadelphia, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 May 05; Vol. 15 (5), pp. e38597. Date of Electronic Publication: 2023 May 05 (Print Publication: 2023).
DOI: 10.7759/cureus.38597
Abstrakt: Alkaptonuria (AKU) is a rare hereditary disorder of tyrosine degradation. The disorder is characterized by the accumulation of a pigment called homogentisic acid. Its accumulation can lead to the breakdown of connective tissue, including tendons. This report presents a 46-year-old male with a history of bilateral total knee arthroplasty (TKA) who sustained bilateral patellar tendon rupture after an acute injury. A single-stage bilateral knee revision with direct repair of the extensor mechanism augmented with Achilles allograft was performed. The procedure was successful, and the patient had an excellent post-operative outcome at one year post-operatively. This case attempts to highlight the possible complications from AKU in order to better counsel patients with this condition who are undergoing TKA.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Lazaro et al.)
Databáze: MEDLINE