scholarly journals Direct Repair without Augmentation of Patellar Tendon Avulsion following TKA

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Ravi Mittal ◽  
Nishikant Kumar ◽  
Chandrashekhar Yadav ◽  
Ashok Kumar
Keyword(s):  
Patellar Tendon ◽  
Suture Technique ◽  
Tissue Loss ◽  
Patellar Tendon Rupture ◽  
Direct Repair ◽  
Long Term Result ◽  
Total Knee ◽  
Krackow Suture ◽  
Tendon Avulsion

Complications involving the extensor mechanism after TKA are potentially disastrous. We are reporting a case of patellar tendon rupture from tibial tuberosity following total knee arthroplasty. We managed it by direct repair with fiberwire using Krackow suture technique without augmentation. Our long term result has been very encouraging. Our method is a safe and better method of management of patellar tendon avulsion following TKA when it happens without any tissue loss.

scholarly journals Arthrodesis with Retrograde Intramedullary Nail for Recurrent Infected Total Knee Arthroplasty with Patellar Tendon Rupture: A Case Report and Literature Review

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0005
Author(s):  
Chi-Yang Liao ◽  
Chun-Li Lin
Keyword(s):  
Total Knee Arthroplasty ◽  
Patellar Tendon ◽  
Knee Arthroplasty ◽  
Tendon Rupture ◽  
Revision Arthroplasty ◽  
Left Knee ◽  
Resection Arthroplasty ◽  
Patellar Tendon Rupture ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee

Patellar tendon rupture after total knee arthroplasty is a rare, but often catastrophic complication. In addition, infection is also a dreaded complication after total knee arthroplasty. We report an 84-year-old female that has late infected total knee arthroplasty with patellar tendon rupture treated with resection arthroplasty and then subsequent arthrodesis with retrograde intramedullary nail. Case Presentation: The 84-year-old female underwent left total knee arthroplasty 2 years ago and revision arthroplasty last year after trauma. She presented to the emergency department with painful disability of left knee. The septic arthritis of left knee was confirmed by bacterial culture through arthrocentesis which yielded methicillinsensitive staphylococcus aureus. Patellar tendon rupture was also noted by loss of extension mechanism and patella alta in plain films. Despite attempts on open debridement and parenteral antibiotics, the infection did not settle. Resection arthroplasty with vancomycin- impregnated cement spacer implantation was performed following by 4-week parenteral antibiotics therapy. The ESR and CRP level of serum improved gradually. Arthrodesis of left knee with retrograde locking intramedullary femoral nail through single incision of the knee was performed. Protected weight bearing was allowed in one week after arthrodesis. The patient discharged 2 weeks later without recurrent infection, but leg length discrepancy about 2cm was noted. Discussion: Patellar tendon rupture after total knee arthroplasty is a rare but disabling complication whose management is often difficult. It was reported that incidence of patellar tendon rupture in literature varies between 0.3- 12.4% for primary total knee arthroplasty and between 1-15% for revision total knee arthroplasty. Contributing factors are excessive dissection and knee manipulation, and trauma. In the literature, various different operative techniques and rehabilitation programs have been described indicating the lack of a golden standard treatment protocol. However, in patients with a total knee arthroplasty, the results have been discouraging. Reconstruction of the patellar tendon can be utilized semitendinosus-gracilis graft with an interference screw and a staple fixation in treating acute ruptures, whereas allografts and synthetic mesh are indicated for chronic cases. Nevertheless, treatment outcomes for ruptured patellar tendon are not good. Gold standard treatment of infected total knee arthroplasty was resection arthroplasty with antibiotic-impregnated bone cement spacer and parenteral antibiotics therapy and then second stage revision total knee arthroplasty until the infection is eradicated. The patella tendon repair and second revision arthroplasty were not suggested by Jake et al. Patellar tendon rupture is best treated with primary repair, but infected prosthetic knee with patellar tendon rupture seemed to be more difficult to manage. Arthrodesis but not revision arthroplasty may be the best choice after infection control to improve the patient’s level of function.

Patellar Tendon Rupture After Total Knee Arthroplasty

1989 ◽  
Vol &NA; (244) ◽  
pp. 233???238 ◽  
Author(s):  
JAMES A. RAND ◽  
BERNARD F. MORREY ◽  
RICHARD S. BRYAN
Keyword(s):  
Total Knee Arthroplasty ◽  
Patellar Tendon ◽  
Knee Arthroplasty ◽  
Tendon Rupture ◽  
Patellar Tendon Rupture ◽  
Total Knee

Patellar tendon avulsion after total knee arthroplasty

1995 ◽  
Vol 10 (3) ◽  
pp. 275-279 ◽  
Author(s):  
J.C. Abril ◽  
L. Alvarez ◽  
J.C. Vallejo
Keyword(s):  
Total Knee Arthroplasty ◽  
Patellar Tendon ◽  
Knee Arthroplasty ◽  
Total Knee ◽  
Tendon Avulsion

Surgical options for chronic patellar tendon rupture in total knee arthroplasty

2016 ◽  
Vol 26 (5) ◽  
pp. 1429-1435 ◽  
Author(s):  
Alfredo Lamberti ◽  
Giovanni Balato ◽  
Pier Paolo Summa ◽  
Ashok Rajgopal ◽  
Attique Vasdev ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patellar Tendon ◽  
Knee Arthroplasty ◽  
Tendon Rupture ◽  
Patellar Tendon Rupture ◽  
Surgical Options ◽  
Total Knee
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