Patellar tendon mid-substance tear after total knee arthroplasty: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20231195Keywords:
Degenerative osteoarthritis, Extensor mechanism, Semitendinosus, GracilisAbstract
Extensor mechanism of knee plays important role in successful long term functional outcome after total knee arthroplasty (TKA). Any injury to extensor mechanism during or after surgery can cause functional disability which can be devastating for patients. Patellar tendon injuries are not very common after TKA. The author reported a rare case of patellar tendon mid-substance tear after TKA, which was successfully managed by reconstruction using grafts without any implant.
References
Cadambi A, Engh GA. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty. A report of seven cases. J Bone Joint Surg. 1992;74(7):974-9.
Lynch AF, Rorabeck CH, Bourne RB. “Extensor mechanism complications following toal knee arthroplasty. J Arthroplast. 1987;2(2):135-40.
Rand JA, Morrey BF, Bryan RS. Patellar tendon rupture after total knee arthroplasty. Clin Orthop Relat Res. 1989:233.
Nam D, Abdel MP, Cross MB, LaMont LE, Reinhardt KR, McArthur BA, et al. The management of extensor mechanism complications in total knee arthroplasty. AAOS exhibit selection. J Bone Joint Surg Am. 2014;96(6):47.
Jarvela T, Halonen P, Jarvela K, Moilanen T. Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee. 2005;12:139-43.
Dobbs RE, Hanssen AD, Lewallen DG, Pagnano MW. Quadriceps tendon rupture after total knee arthroplasty: prevalence, complications, and outcomes. J Bone Joint Surg. 2005;87(1):37-45.
Healy WL, Wasilewski SA, Takei R, Oberlander M. Patellofemoral complications following total knee arthroplasty: correlation with implant design and patient risk factors. J Arthroplast. 1995;10(2):197-202.
Browne JA, Hanssen AD. Reconstruction of patellar tendon disruption after total knee arthroplasty: Results of a new technique utilizing synthetic mesh. J Bone Jt Surg. 2011;93(12):1137-43.
