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Arch Orthop Trauma Surg ; 134(5): 713-7, 2014 May.
Article in English | MEDLINE | ID: mdl-24525798

ABSTRACT

INTRODUCTION: Patellar tendon rupture is an infrequent but debilitating lesion. Several surgical repairs have been suggested for patellar tendon rupture. Our aim is to propose a modified technique from the classic Achilles allograft procedure. MATERIALS AND METHODS: Five consecutive patients diagnosed with chronic patellar tendon rupture following total knee arthroplasty (TKA) were included in the presented study. All patients were operated with a modified Achilles allograft technique, dividing the Achilles tendon into two bundles and overcrossing these through the distal part of the quadricipital tendon. RESULTS: All patients regained their extension mechanism and have discontinued using crutches. No complications were observed. CONCLUSIONS: The modified Achilles allograft has shown to be a safe, time-reducing repair for chronic patellar tendon ruptures following TKA, and should be considered as an alternative surgical repair.


Subject(s)
Achilles Tendon/transplantation , Arthroplasty, Replacement, Knee/adverse effects , Orthopedic Procedures/methods , Patellar Ligament/injuries , Tendon Injuries/surgery , Aged , Aged, 80 and over , Allografts , Chronic Disease , Female , Humans , Male , Middle Aged , Patellar Ligament/surgery , Plastic Surgery Procedures/methods , Rupture , Tendon Injuries/etiology , Transplantation, Homologous , Wound Healing
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