Suture Anchor Repair of Quadriceps Tendon Rupture After Total Knee Arthroplasty

2011 ◽  
Vol 26 (5) ◽  
pp. 817-820 ◽  
Author(s):  
Tae Won B. Kim ◽  
Atul F. Kamath ◽  
Craig L. Israelite
Orthopedics ◽  
2016 ◽  
Vol 40 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Amaia Ormaza ◽  
Jesús Moreta ◽  
Javier Mosquera ◽  
Oskar Sáez de Ugarte ◽  
José Luis Martinez-de los Mozos

2019 ◽  
Vol 13 (1) ◽  
pp. 250-254
Author(s):  
Steven T. Heer ◽  
James O'Dowd ◽  
Rebecca R. Butler ◽  
David O. Dewitt ◽  
Gaurav Khanna ◽  
...  

Introduction: Rupture of a Quadriceps Tendon (QT) following a Total Knee Arthroplasty (TKA) is a rare complication. The purpose of this study was to report outcomes and complications of QT repair following TKA. Methods: From a cohort of 437 QT repairs, 19 individuals were identified who had previously undergone a TKA on the ipsilateral leg. Data was collected on individuals with a minimum follow up of 3 months post QT repair (n=16), including Knee Society Scores, pre and post-operative lag, and pre and post-operative range of motion. Results: 13 patients were treated with End-to-End (EE) repairs and 6 were treated with transosseous or suture anchor repair (ATO). In the ATO group, there was no difference in pre (68.0 ± 22.5) and post KSS (82 ± 9.16) (p=0.231), but in the EE group, there was a significant improvement in KSS (pre=67.8 ± 13.1, post=86 ± 16.75, p=0.0027). There was significant difference in post-operative extension lag between ATO (26.0 ± 12.6) vs. EE (4.0 ± 2.74) (p=0.0083). Four out of six ATO patients had extension lag ≥10 degree extensor lag (66.7%) compared to 2 out of 13 (15.4%) patients in the EE group. Compared to EE, ATO repair had an 8.00 times odds of re-tear (95% CI: 0.53,120.6; p=0.133) and 2.75 times greater risk of infection (95% CI: 0.284, 26.61; p=0.382). Conclusion: Patients who underwent EE repair had better functional improvements compared to the ATO group and smaller extension lag.


The Knee ◽  
2018 ◽  
Vol 25 (1) ◽  
pp. 192-194 ◽  
Author(s):  
Jigar Chhapan ◽  
Sukesh Rao Sankineani ◽  
T. Chiranjeevi ◽  
Maryada V. Reddy ◽  
Diwakar Reddy ◽  
...  

The Knee ◽  
2020 ◽  
Vol 27 (5) ◽  
pp. 1446-1450
Author(s):  
Andrew Jimenez ◽  
Yehia H. Bedeir ◽  
Kathryn A. Hasselfeld ◽  
Kimberly A. Hasselfeld ◽  
Barton R. Branam

2012 ◽  
Vol 26 (S 01) ◽  
pp. S128-S131 ◽  
Author(s):  
Roshan Shah ◽  
Nathan Summers ◽  
Craig Israelite ◽  
Atul Kamath

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Gaurav Sharma ◽  
Vaibhav Bagaria ◽  
Shyam Nadange ◽  
Chaitanya Waghchoure ◽  
Smit Shah ◽  
...  

Background: Extensor mechanism failure secondary to knee replacement could be due to tibial tubercle avulsion, Patellar tendon rupture, patellar fracture or quadriceps tendon rupture. An incidence of Patella tendon rupture of 0.17% and Quadriceps tendon rupture of around 0.1% has been reported after Total knee arthroplasty. These are considered a devastating complication that substantially affects the clinical results and are challenging situations to treat with surgery being the mainstay of the treatment.Case Description: We report here an interesting case of a patellar tendon rupture of one knee and Quadriceps tendon rupture of the contralateral knee following simultaneous bilateral knee replacement in a case of inflammatory arthritis patient. End to end repair for Quadriceps tear and augmentation with Autologous Hamstring tendon graft was done for Patella tendon rupture.OUTCOME: Patient was followed up for a period of 1 year and there was no Extension lag with a flexion of 100 degrees in both the knees.DISCUSSION: The key learning points and important aspects of diagnosing these injuries early and the management techniques are described in this unique case of bilateral extensor mechanism disruption following knee replacements.


2005 ◽  
Vol 87 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Ryan E. Dobbs ◽  
Arlen D. Hanssen ◽  
David G. Lewallen ◽  
Mark W. Pagnano

Sign in / Sign up

Export Citation Format

Share Document