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Reconstruction of patellar tendon rupture after total knee arthroplasty using polyethylene cable.
- Source :
-
The Knee [Knee] 2021 Mar; Vol. 29, pp. 63-67. Date of Electronic Publication: 2021 Feb 09. - Publication Year :
- 2021
-
Abstract
- Background: Patellar tendon rupture is a devastating complication after total knee arthroplasty (TKA). Different strategies have been used to reconstruct or augment direct repairs.<br />Methods: Acute patellar tendon ruptures after TKA were treated using ultra-high molecular weight polyethylene cable (Nesplon cable) for augmentation in four patients. Nesplon cables were inserted anteriorly through the quadriceps just above the patella, and drill holes were placed in the tibial tubercle with one in figure-of-eight fashion and the other in cerclage configuration. Clinical evaluations were performed using range of motion and Knee Society Score at the time of last follow-up. Mean follow-up was 3.5 years.<br />Results: Postoperatively, mean flexion was 119° and mean extension was 0° in all cases. No knees showed extension lag. Mean knee score was 93.8 and mean function score was 63.8. Infection occurred in one case.<br />Conclusion: Patellar tendon reconstruction with Nesplon cable was favorable with good clinical outcomes.<br />Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Female
Humans
Knee Joint surgery
Middle Aged
Patella surgery
Patellar Ligament surgery
Polyethylene
Quadriceps Muscle surgery
Range of Motion, Articular
Rupture surgery
Tendon Injuries diagnosis
Tendon Injuries etiology
Arthroplasty, Replacement, Knee adverse effects
Plastic Surgery Procedures
Sutures
Tendon Injuries surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1873-5800
- Volume :
- 29
- Database :
- MEDLINE
- Journal :
- The Knee
- Publication Type :
- Academic Journal
- Accession number :
- 33578282
- Full Text :
- https://doi.org/10.1016/j.knee.2021.01.008