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Patellar Tendon Rupture

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2. Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture (PubMed)

Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical (...) is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.

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2017 Arthroscopy techniques

3. Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: surgical technique (PubMed)

Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: surgical technique Patellar tendon chronic ruptures are more debated to manage that acute injuries as the patella tends to retract proximally (after 2 weeks), and surrounding soft tissues may make the repair more complicate.We propose a novel technique in which the patellar tendon is reconstructed using ipsilateral hamstring tendons. This surgical procedure implies to drill a single tunnel through (...) of the patellar tendon.The main indication for this procedure is the reconstruction of the PT in patients with chronic rupture (>6 weeks) in which the tendon gap is greater than 2 centimeters and the scar tissues and degenerated tendon ends do not allow to juxtapose the tendon stumps to each other.Level IV.

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2017 Muscles, ligaments and tendons journal

4. Contralateral Anterior Cruciate Ligament Rupture 11 Years or More Post ACL Repair With Either Hamstring Tendon or Patellar Tendon Autografts

Contralateral Anterior Cruciate Ligament Rupture 11 Years or More Post ACL Repair With Either Hamstring Tendon or Patellar Tendon Autografts "Contralateral Anterior Cruciate Ligament Rupture 11 Years or More Post" by Brandon R. Cox < > > > > > Title Author Date of Graduation Summer 8-9-2014 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background: Anterior cruciate ligament (ACL) injuries are common but devastating injuries. After (...) ACL reconstruction there is an elevated risk of rupture to the contralateral ACL, and this risk may be increased over time with patellar tendon autografts. Does risk of rupture increase for the contralateral ACL 11 years or more after ACL reconstruction when using a patellar tendon versus a hamstring tendon autograft? Methods: An exhaustive search of available medical literature was conducted using Medline-OVID, PubMed, and CINAHL using the keywords: anterior cruciate ligament, contralateral

2014 Pacific University EBM Capstone Project

5. Neglected Patellar Tendon Rupture With Massive Proximal Patellar Migration Treated With Patellar Transport and Staged Allograft Reconstruction: A Report of 2 Cases (PubMed)

Neglected Patellar Tendon Rupture With Massive Proximal Patellar Migration Treated With Patellar Transport and Staged Allograft Reconstruction: A Report of 2 Cases 27900337 2019 02 26 2325-9671 4 11 2016 Nov Orthopaedic journal of sports medicine Orthop J Sports Med Neglected Patellar Tendon Rupture With Massive Proximal Patellar Migration Treated With Patellar Transport and Staged Allograft Reconstruction: A Report of 2 Cases. 2325967116672175 Elattar Osama O Orthopedic Sports Medicine Service (...) College, Cornell University, New York, New York, USA. eng Case Reports 2016 11 21 United States Orthop J Sports Med 101620522 2325-9671 allograft knee patellar tendon patellar transport reconstruction The authors declared that they have no conflicts of interest in the authorship and publication of this contribution. 2016 12 1 6 0 2016 12 3 6 0 2016 12 3 6 1 epublish 27900337 10.1177/2325967116672175 10.1177_2325967116672175 PMC5120681 Knee. 2005 Apr;12(2):139-43 15749450 Knee. 2003 Jun;10 (2):127-30

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2016 Orthopaedic journal of sports medicine

6. Reconstruction of Acute Patellar Tendon Rupture after Patellectomy (PubMed)

Reconstruction of Acute Patellar Tendon Rupture after Patellectomy Acute rupture of the knee extensor mechanism after patellectomy is extremely rare. We present the case of a patient with acute patellar tendon rupture who had undergone patellectomy 53 years before. Twelve days after the injury, the ruptured patellar tendon was repaired with end-to-end suture. Postoperatively, we splinted the knee for 6 weeks but permitted the patient to walk without limiting weight bearing at 1 week (...) postoperatively. At one-year follow-up, the patient is able to move his knee almost full range of motion and the Lysholm knee score is 81. The patient is satisfied with the outcome. This is the first report to treat acute rupture of the patellar tendon in a patient who had undergone patellectomy. Although careful rehabilitation is required, end-to-end suture might be an adequate surgical procedure for acute rupture of the knee extensor mechanism after patellectomy.

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2018 Case reports in orthopedics

7. Treatment of a Neglected Patellar Tendon Rupture with a Modified Surgical Technique: Ipsilateral Semitendinosus Autograft Reconstruction with Suture Tape Augmentation (PubMed)

Treatment of a Neglected Patellar Tendon Rupture with a Modified Surgical Technique: Ipsilateral Semitendinosus Autograft Reconstruction with Suture Tape Augmentation Patellar tendon ruptures are rare, but debilitating injuries are typically seen in young active males in the third and fourth decades of life. They can occur as a single acute injury or from repetitive microtrauma weakening the tendon. Patients typically present complaining of knee pain, swelling, and an inability to perform (...) a straight leg raise. Most conventionally, these injuries are classified as acute (less than two weeks) or chronic (greater than two weeks) based upon the timing of presentation. In patients with patellar tendon ruptures and inability to perform a straight leg raise, patellar tendon repair is most often recommended. A subset of patients with chronic patellar tendon ruptures, however, presents several months after their initial injuries. These neglected patella tendon ruptures present a particularly

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2018 Case reports in orthopedics

8. Iterative Rupture of the Patellar Tendon: A Case Report of an Original Technique for Revision Reconstruction Using an Adjustable Loop and an Artificial Ligament (PubMed)

Iterative Rupture of the Patellar Tendon: A Case Report of an Original Technique for Revision Reconstruction Using an Adjustable Loop and an Artificial Ligament Chronic rupture of the patellar tendon is a severe injury that leads to dramatic functional consequences including lack of extension and walking difficulty. Surgery is the gold standard to treat this type of injury, but revision reconstructions are problematic because an ipsilateral graft was often harvested for the initial surgery (...) . Because fibrotic tissues on the patellar tendon need to be debrided, another graft must be added to reinforce the tendon. We reported the case of a former semiprofessional handball player, a 29-year-old man who presented an iterative rupture with the fracture of the transverse patellar tunnel 6 months after reconstruction using a semitendinosus graft and suture repair. We performed revision reconstruction surgery using an artificial ligament placed between the extensor mechanism and the tibia

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2018 Case reports in orthopedics

9. Superior Patellar Dislocation Misdiagnosed as Patellar Tendon Rupture: The Value of Ultrasonography (PubMed)

Superior Patellar Dislocation Misdiagnosed as Patellar Tendon Rupture: The Value of Ultrasonography Superior dislocation of the patella with intact patellar tendon is a rare condition. Most cases in literatures were diagnosed by clinical examination and plain radiography; however there are many cases that were misdiagnosed as patellar tendon rupture. In this case, we demonstrate the use of ultrasound for diagnosis of superior dislocation of the patella in the emergency department. We also

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2016 Case reports in orthopedics

10. Acute traumatic rupture of the patellar tendon in pediatric population: Case series and review of the literature. (PubMed)

Acute traumatic rupture of the patellar tendon in pediatric population: Case series and review of the literature. Intact knee extensor mechanism is required for the normal function of the lower extremity. Patellar tendon rupture is a relatively rare injury with peak age incidence around 40 years and usually occurs midsubstance. The occurrence of pure patellar tendon rupture without bony avulsion is an extremely rare injury in the pediatric population with few cases reported in the literature (...) with limited information regarding frequency, complications, and outcomes in children. However, due to increased participation in sports and high-energy recreational activities during childhood, the frequency of such injuries has progressively increased.To evaluate the frequency of pediatric patellar tendon rupture injuries and describe the radiological findings, treatment modalities, and outcome of such injuries.Demographic and clinical data on a series of patients who sustained patellar tendon rupture

2017 Injury

11. Early combined arthroscopic treatment for simultaneous ruptures of the patellar tendon and the anterior cruciate ligament leads to good radiological results and patient satisfaction. (PubMed)

Early combined arthroscopic treatment for simultaneous ruptures of the patellar tendon and the anterior cruciate ligament leads to good radiological results and patient satisfaction. Simultaneous rupture of the patellar tendon (PT) and the anterior cruciate ligament (ACL) is a relatively rare injury. This study offers a comprehensive review of the published reports and presents two cases of simultaneous PT and ACL rupture.A systematic review of English literature was performed, and data from (...) two patients who were referred to our institution with simultaneous PT and ACL rupture were collected. Both patients underwent primary arthroscopic ACL reconstruction combined with PT reconstruction and, 1 year after surgery, magnetic resonance imaging (MRI), clinical examination, strength measurement and functional assessment.Fourteen studies (24 patients) were included in the review. A two-stage approach was used in eight cases (33.3%), and in nine the use of arthroscopy was documented (37.5

2017 Knee Surgery, Sports Traumatology, Arthroscopy

12. Surgical Management of Simultaneous Anterior Cruciate Ligament and Patellar Tendon Ruptures: A Systematic Review.

Surgical Management of Simultaneous Anterior Cruciate Ligament and Patellar Tendon Ruptures: A Systematic Review. This study performs a systematic review to determine (1) if a significant difference exists in return to preinjury activity level between one- and two-stage treatment of combined anterior cruciate ligament (ACL) and patellar tendon (PT) tears; and (2) if a significant difference exists in the number of postoperative complications between the two differing surgical treatment

2017 The journal of knee surgery

13. Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture (PubMed)

Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy

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2017 Case reports in orthopedics

14. Traumatic Rupture of an Intermediate Tendon in a Patient with Patellar Duplication (PubMed)

Traumatic Rupture of an Intermediate Tendon in a Patient with Patellar Duplication Patellar duplication is a rare asymptomatic condition. The diagnosis is often made following a traumatic event associated with an injury to the knee extensor mechanism. The treatment is often surgical and consists in removal of the smaller part of the patella with tendon reinsertion. The presence and rupture of an intermediate tendon between the two parts of the patella have not been reported in the modern (...) literature. We present a traumatic rupture of an intermediate tendon in a patient with horizontal patellar duplication. The surgical management consisted of tenorrhaphy protected with a figure-of-eight tension band wire approximating the two parts of the patella. The patient recovered full knee range of motion and quadriceps strength at the last 8-month follow-up.

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2017 Case reports in orthopedics

15. A Rare Case of Bilateral Patellar Tendon Ruptures: A Case Report and Literature Review (PubMed)

A Rare Case of Bilateral Patellar Tendon Ruptures: A Case Report and Literature Review Bilateral patellar tendon ruptures are rare. The majority of case reports describing bilateral patellar tendon ruptures have occurred in patients with predisposing factors to tendinopathy. We describe a case of bilateral patellar tendon rupture sustained following minimal trauma by a patient with no systemic disease or history of steroid use. Due to the rarity of this injury, clinical suspicion is low (...) . It is reported that 38% of patellar tendon ruptures are misdiagnosed initially. Therefore careful history taking and physical examination is integral in ensuring a diagnosis is achieved for early primary repair. We discuss the aetiology of spontaneous tendon rupture and report a literature review of bilateral patellar tendon ruptures.

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2016 Case reports in orthopedics

16. Bilateral patellar tendon rupture associated with statin use (PubMed)

Bilateral patellar tendon rupture associated with statin use Patellar tendon rupture is an uncommon clinical presentation, which generally affects the under 40s who are active in sport. Bilateral rupture of both tendons is much rarer. It occurs most frequently in patients with predisposing factors such as corticosteroid use or systemic diseases. The authors present the case of a 56-year-old male on long-term statin therapy who sustained this injury following a fall on ice. He had no known risk (...) factors for tendon rupture. Surgical treatment involved tendon repair using Krakow suture via bony tunnels in the patella. Statins have previously been associated with tendon ruptures at other sites but there have been no published cases of bilateral patellar tendon rupture linked to statin use. We review the literature regarding the association between statins and tendon rupture. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016.

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2016 Journal of surgical case reports

17. Surgical options for chronic patellar tendon rupture in total knee arthroplasty. (PubMed)

Surgical options for chronic patellar tendon rupture in total knee arthroplasty. The purpose of this study was to compare mid-term results of three different reconstructive techniques for chronic patellar tendon disruption after total knee arthroplasty (TKA). Several surgical techniques have been proposed, but to date it is still unclear which is the best solution. The hypothesis was that allografts provide better functional results than autografts in restoring a correct joint function.Twenty (...) -one reconstructions were performed in twenty-one patients (three groups of seven patients) with chronic patellar tendon lesion following TKA. Group I underwent reconstruction with an Achilles tendon allograft with a calcaneal block, Group II with an autograft of the quadriceps tendon reinforced by the semitendinosus tendon and Group III with a full extensor mechanism allograft consisting of the tibial tubercle, patellar tendon, patella, and quadriceps tendon. Preoperatively and at each follow-up

2016 Knee Surgery, Sports Traumatology, Arthroscopy

18. Patellar Tendon Rupture

Patellar Tendon Rupture Patellar Tendon Rupture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Patellar Tendon Rupture Patellar (...) Tendon Rupture Aka: Patellar Tendon Rupture From Related Chapters II. Risk Factors may predispose to Patellar Tendon Rupture III. Mechanism Forceful knee flexion against resistance IV. Signs: Large Defect between tibial tubercle and inferior Difficult active knee extension V. Differential Diagnosis Quadriceps tendon rupture (elderly) Tibial tuberosity avulsion (adolescents) VI. Imaging: Insall-Salvati Ratio for evaluation Distance ratio between Proximal tibial tubercle Inferior pole of the Normal

2018 FP Notebook

19. Patellar Tendon Rupture

Patellar Tendon Rupture Patellar Tendon Rupture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Patellar Tendon Rupture Patellar (...) Tendon Rupture Aka: Patellar Tendon Rupture From Related Chapters II. Risk Factors may predispose to Patellar Tendon Rupture III. Mechanism Forceful knee flexion against resistance IV. Signs: Large Defect between tibial tubercle and inferior Difficult active knee extension V. Differential Diagnosis Quadriceps tendon rupture (elderly) Tibial tuberosity avulsion (adolescents) VI. Imaging: Insall-Salvati Ratio for evaluation Distance ratio between Proximal tibial tubercle Inferior pole of the Normal

2018 FP Notebook

20. Spontaneous bilateral patellar tendon rupture: case report and review of fluoroquinolone‐induced tendinopathy (PubMed)

Spontaneous bilateral patellar tendon rupture: case report and review of fluoroquinolone‐induced tendinopathy The present case emphasizes the importance of adhering to strict indications when prescribing fluoroquinolones. Although rare, drug-induced tendinopathy is not confined to fluoroquinolones. The patient's and physician's awareness should be increased to reduce fluoroquinolones-associated morbidity, particularly in patients with previously described risk factors.

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2016 Clinical Case Reports

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