Treatment of Chronic Patellar Tendon Rupture with Hamstrings Tendon Autograft
| Autor: | Panagiotis Valianatos, Dimitrios Kampras, Evgenia Papadakou, Dimitrios Erginoussakis, Anastasios Kouzoupis, Nikitas Schizas |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Knee Joint Knee Injuries Transplantation Autologous 03 medical and health sciences 0302 clinical medicine Fall from height Patellar Ligament Tendon Injuries medicine Effective treatment Humans Orthopedics and Sports Medicine Favorable outcome Range of Motion Articular Autografts Rupture 030222 orthopedics business.industry Hamstring Tendons Mean age 030229 sport sciences Middle Aged Plastic Surgery Procedures musculoskeletal system medicine.disease Patellar tendon Surgery Tendon Extension lag medicine.anatomical_structure Treatment Outcome Chronic Disease Female business Patellar tendon rupture |
| Zdroj: | The journal of knee surgery. 33(8) |
| ISSN: | 1938-2480 |
| Popis: | We describe a new simple reconstruction for neglected chronic ruptures of patellar tendon using ipsilateral hamstrings tendon autograft. This has been validated in thirteen patients with mean follow up six years resulting in favorable outcome. Thirteen patients with mean age 58.2 years (range 30–64 years) presented with chronic patellar tendon rupture. They all underwent patellar tendon reconstruction using ipsilateral hamstrings tendon autograft. The average time from injury was 10 months (range 3–20 months). The cause of rupture was fall from height or after TKA and the preoperative Lysholm score was 65 (range 50–80). Postoperatively with a mean follow up of six years (range 5–7 years), all patients had a stable knee with mean flexion of 123°, extension lag 0°, and Insall-Salvati index 1.2. Quadriceps power was regained in 8 cases to 5/5 and in 5 cases to 4/5. No complications were inspected. The postoperative Lysholm score was 93 (range 89–95). Patellar tendon reconstruction using ipsilateral hamstrings as free autograft, consists an effective treatment option for chronic neglected patellar tendon ruptures. Our technique has favorable clinical outcome, complications are not expected, and consist a simple and anatomic reconstruction with a powerful graft, without the requirement for allograft or implants. |
| Databáze: | OpenAIRE |
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