scholarly journals Fracture of the patella after the anterior cruciate ligament reconstruction

2012 ◽  
Vol 65 (11-12) ◽  
pp. 476-482 ◽  
Author(s):  
Miroslav Milankov ◽  
Predrag Rasovic ◽  
Nemanja Kovacev ◽  
Milan Milovic ◽  
Veselin Bojat
Keyword(s):  
Anterior Cruciate Ligament ◽  
Patellar Tendon ◽  
Rare Complication ◽  
Cruciate Ligament ◽  
Rehabilitation Program ◽  
Patellar Fracture ◽  
Rehabilitation Period ◽  
Sporting Activities ◽  
Anterior Cruciate ◽  
Bone Autograft

Introduction. Fracture of the patella, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. Material and Methods. We made 1714 reconstructions of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and 7 patients had fracture of the patella (0.42%). The fracture was immediately recognized in the patients with vertical non-displaced patellar fracture and the broken screw osteosynthesis was carried out without changes in the rehabilitation period. One patient was treated non-operatively and patellar fracture in four patients was treated with operative reduction and osteosynthesis. Results. The patients were invited for the check-up 5 years (2-8 years) after surgery on average. The mean Lysholm score was 92 (85-100). All of them continued to engage in sporting activities at the same or greater level after 9 months on average (6-12 months). In all patients the Lachman test was with the firm stop compared to the other leg. X-ray changes in the patella were found in 2 patients who had multifragmentary fractures. Discussion and Conclusion. The fracture of patella can be prevented by avoiding to take too much bone graft, by using the most precise tools for cutting, while rehabilitation must be carefully planned. The optimal treatment of the fracture of the patella after the reconstruction of the anterior cruciate ligament is a firm osteosynthesis, which allows healing of the bone and continuation of the rehabilitation program.

scholarly journals Disruption of the knee extensor apparatus complicating anterior cruciate ligament reconstruction

2013 ◽  
Vol 60 (2) ◽  
pp. 13-21 ◽  
Author(s):  
Miroslav Milankov ◽  
Vaso Kecojevic ◽  
Predrag Rasovic ◽  
Nemanja Kovacevic ◽  
Nemanja Gvozdenovic ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Patellar Tendon ◽  
Rare Complication ◽  
Cruciate Ligament ◽  
Knee Extensor ◽  
Patellar Ligament ◽  
Local Bone ◽  
Extensor Apparatus ◽  
Anterior Cruciate ◽  
Bone Autograft

Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. We made 2215 reconstructions of the anterior cruciate ligament of the knee using bonepatellar tendon-bone technique, and 10 patients had fracture of the patella (0.45%), and fore patients had rupture of the patellar tendon(0.18%). The fracture of the patella in two patients was treated nonoperatively and 8 patients was treated with operative reduction and osteosynthesis. Reconstruction of the patellar ligament in four patients with a rupture of patellar tendon (0.18%) was performed by a technique previously published with BTB allograft taken from the local bone bank. The mean Lysholm score was 90 (85-100), and all of them have continued to engage in sporting activities. In all patients the Lachman test was with the firm stop compared to the other leg. Xray changes in the patella were found in 2 patients, who had multifragmentary fractures of the patella. Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, can be prevented by avoiding to take too much bone graft, by using the most precise tools for cutting, while rehabilitation must be carefully planned. The optimal treatment disruption of the knee extensor apparatus after the reconstruction of the anterior cruciate ligament is a operative reconstruction, which allows continuation of the rehabilitation program.

scholarly journals Arthroscopic Reconstruction of the Anterior Cruciate Ligament Using Bone-Patellar Tendon-Bone Autograft: Experience of the First 100 Cases

2005 ◽  
Vol 13 (2) ◽  
pp. 147-152 ◽  
Author(s):  
D Chaudhary ◽  
P Monga ◽  
D Joshi ◽  
R Easwaran ◽  
N Bhatia ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Full Range ◽  
Arthroscopic Reconstruction ◽  
Sporting Activities ◽  
Anterior Cruciate ◽  
Bone Autograft ◽  
Femoral Screw ◽  
Bone Patellar Tendon

Purpose. To review the results of patients who underwent arthroscopic reconstruction of the anterior cruciate ligament (ACL) via a single incision technique using a bone-patellar tendon-bone autograft. Methods. Patients with ACL-deficient knees who were symptomatic and wanted to maintain an active lifestyle or continue sporting activities were included. ACL reconstruction using the bone-patellar tendon-bone graft was performed on 100 patients. One-year follow-up was completed in 78 patients who were then reviewed. The mean age of patients reviewed was 26.8 years (range, 21–39 years), of whom 35 (44.9%) were aged between 26 and 30 years. There were 73 men and 5 women (ratio, 14.6:1). Injuries on the right side outnumbered those on the left (44 versus 34). Sports injuries accounted for 66.7% (n=52) of patients, motor vehicle accidents and household injuries accounted for 30.8% (n=24) and 2.6% (n=2), respectively. Results. Excellent and good-to-excellent results were achieved in 7 (9%) and 61 (78.2%) of patients. Residual anterior knee pain (n=18) was the most common complication, followed by difficulty in regaining full range of motion (n=10) and divergence of femoral screw (n=9). Conclusion. This procedure provides consistent and reproducible results in carefully selected patients and allows them an early return to sporting activities with minimal residual morbidity.

Arthroscopic Reconstruction of the Anterior Cruciate Ligament Using Bone-Patellar Tendon-Bone Autograft

2008 ◽  
Vol 36 (7) ◽  
pp. 1275-1282 ◽  
Author(s):  
Benoit Lebel ◽  
Christophe Hulet ◽  
Bertrand Galaud ◽  
Gilles Burdin ◽  
Bruno Locker ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Arthroscopic Reconstruction ◽  
Anterior Cruciate ◽  
Bone Autograft ◽  
Bone Patellar Tendon
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