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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 Full Text available with Trip Pro

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.

2017 Arthroscopy techniques

3. Treatment of a Neglected Patellar Tendon Rupture with a Modified Surgical Technique: Ipsilateral Semitendinosus Autograft Reconstruction with Suture Tape Augmentation Full Text available with Trip Pro

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

2018 Case reports in orthopedics

4. Iterative Rupture of the Patellar Tendon: A Case Report of an Original Technique for Revision Reconstruction Using an Adjustable Loop and an Artificial Ligament Full Text available with Trip Pro

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

2018 Case reports in orthopedics

5. Allograft of the knee extensor in cases of patellar tendon rupture in total arthroplasty patients Full Text available with Trip Pro

Allograft of the knee extensor in cases of patellar tendon rupture in total arthroplasty patients Retrospective study to evaluate the functional results of patients with total knee arthroplasty and rupture of the patellar tendon, submitted to transplantation of the extensor knee apparatus with fresh frozen allograft.Nine patients, operated between 2003 and 2015, with a minimum of one year of follow-up. All patients were reviewed by performing a functional evaluation using the Knee Society score (...) . Preoperative values were compared with those of the final evaluation.Mean survival was 2.7 ± 1.9 years (14-1). The knee score improved from 38 ± 4.5 to 70 ± 8.5, and functional score from 30 ± 6.5 to 90 ± 3.5. Mean extension deficit was 5 (1-15). Mean range of motion was 80 (60-100).The use of allograft is a solution for extreme cases of patellar rupture after total knee arthroplasty, providing reasonable functional results and representing an alternative to knee arthrodesis.

2018 Revista brasileira de ortopedia

6. Tibial tubercle fracture associated with distal rupture of the patellar tendon: case report Full Text available with Trip Pro

Tibial tubercle fracture associated with distal rupture of the patellar tendon: case report Avulsion of the tibial tubercle is an uncommon injury that occurs in the young athlete, resulting from an eccentric contraction of the extensor mechanism with the leg fixed to the ground. Concomitant injuries to the patellar tendon are very rare, with few cases reported in the literature. The authors present a case of a 15-year-old basketball player who suffered an avulsion of the tibial tubercle (...) associated with complete distal rupture of the patellar tendon while training. It was treated with open reduction of the tibial fragment and reconstruction of the patellar tendon with mini-anchors and cannulated screws, as well as hamstring autograft tendon reinforcement. The patient showed excellent results and returned to sports after 12 months of follow-up.

2018 Revista brasileira de ortopedia

7. Reconstruction of Acute Patellar Tendon Rupture after Patellectomy Full Text available with Trip Pro

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.

2018 Case reports in orthopedics

8. Simultaneous patellar tendon and anterior cruciate ligament rupture: diagnosis, treatment, rehabilitation and management of complications - a systematic review, meta-analysis and algorithmic approach

Simultaneous patellar tendon and anterior cruciate ligament rupture: diagnosis, treatment, rehabilitation and management of complications - a systematic review, meta-analysis and algorithmic approach Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears

2020 PROSPERO

9. Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: surgical technique Full Text available with Trip Pro

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.

2017 Muscles, ligaments and tendons journal

10. Surgical repair of a proximal patellar tendon avulsion in a dog utilizing triple patellar bone tunnels and modified tendon repair technique Full Text available with Trip Pro

Surgical repair of a proximal patellar tendon avulsion in a dog utilizing triple patellar bone tunnels and modified tendon repair technique A three-and-a-half-year-old neutered male Standard Schnauzer presented with a 5-week history of inability to bear full weight on the right pelvic limb following a traumatic injury to the right stifle. Clinical, radiographic, and ultrasound findings were consistent with a proximal patellar tendon rupture with a distal patellar avulsion fragment (...) . A proprietary Achilles repair jig system was used to reattach the patellar tendon to the patella, allowing for direct approximation of the tissues. The primary repair was supported with a protective patella-to-tibia suture, and the dog was fitted with an orthosis to restrict range of motion of the stifle. Primary tendon repair using alternative suture materials and suture placement, in conjunction with a protective suture loop and transient stifle immobilization, allowed for a successful outcome without

2018 Open veterinary journal

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

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

12. Traumatic Rupture of an Intermediate Tendon in a Patient with Patellar Duplication Full Text available with Trip Pro

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.

2017 Case reports in orthopedics

13. Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture Full Text available with Trip Pro

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

2017 Case reports in orthopedics

14. Traumatic dissociation of the tibial insert with patellar tendon rupture after high-flex posterior-stabilized Genesis II total knee arthroplasty Full Text available with Trip Pro

Traumatic dissociation of the tibial insert with patellar tendon rupture after high-flex posterior-stabilized Genesis II total knee arthroplasty The authors report the first case of traumatic late dissociation of the polyethylene insert with patellar tendon rupture after total knee arthroplasty using a high-flex posterior-stabilized Genesis II prosthesis in a 60-year-old Parkinson's disease patient. Insert dislodgement has been described most commonly with mobile-bearing and cruciate-retaining

2017 Revista brasileira de ortopedia

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

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

16. 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

17. 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

18. Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon

Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03671421 Recruitment Status : Recruiting First Posted

2018 Clinical Trials

19. Neglected Patellar Tendon Rupture With Massive Proximal Patellar Migration Treated With Patellar Transport and Staged Allograft Reconstruction: A Report of 2 Cases Full Text available with Trip Pro

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

2016 Orthopaedic journal of sports medicine

20. Rupture of the Patellar Tendon After Platelet-Rich Plasma Treatment: A Case Report. (Abstract)

Rupture of the Patellar Tendon After Platelet-Rich Plasma Treatment: A Case Report. Rupture of the patellar tendon is becoming more and more frequent, even in sports activities overloading the extensor mechanism of the knee. Platelet-rich plasma (PRP) treatment has been recently introduced in treatment for several knee- and sport-related injuries including muscle strain cartilage defect and tendinopathies. The aim of this case report is to present a case of rupture of the patellar tendon (...) occurred after injections of PRP.A case of a 40-year-old male soccer player sustaining a patellar tendon rupture after a series of 4 PRP injections. At surgery, a complete rupture in the middle of the patellar tendon was found, with severe degenerative changes of the tendon tissue. This case questions the actual efficacy and safety of PRP in severe degenerative tendinopathies.

2018 Clinical Journal of Sport Medicine

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