Modified Technique for Patellar Tendon Repair Post-Total Knee Arthroplasty: A Case Report
| Autor: | Kareena Rajani, Meenakshi S. Punamiya, Khushi Rajani, Amyn M. Rajani |
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| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
patella tendon rupture total knee arthroplasty medicine.medical_specialty business.industry Total knee arthroplasty Modified technique Case Report Osteoarthritis primary repair musculoskeletal system medicine.disease Patellar tendon Surgery Total knee replacement Avulsion Primary repair surgical procedures operative augmentation medicine business Complication Patellar tendon rupture |
| Zdroj: | Journal of Orthopaedic Case Reports |
| ISSN: | 2321-3817 2250-0685 |
| DOI: | 10.13107/jocr.2020.v10.i09.1886 |
| Popis: | Introduction Rupture of patellar tendon following total knee arthroplasty (TKA) is a rare but disabling complication. Results of the primary repair of the patellar tendon after the TKA are associated with higher complication rates and a poor outcome. We report a rare case of traumatic patellar rupture, 5 years after the TKA managed using a primary repair with good post-operative outcome. Case report A 75-year-old female was operated for sequential bilateral Grade 4 osteoarthritis. Five years after the left-sided TKA, she sustained a fall while coming down the stairs and avulsed her patellar tendon on the left side. The management in our case was done by primary repair using two techniques with augmentation using autologous semitendinosus free graft. Conclusion Management of a patellar tendon rupture/avulsion after TKA is unpredictable and associated with poor functional outcomes. Various methods have been described with inconsistent clinical evidences. The operating surgeon must consider the potential advantages and disadvantages of these techniques. |
| Databáze: | OpenAIRE |
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