Skip to main content
Top
Published in: Current Reviews in Musculoskeletal Medicine 4/2015

01-12-2015 | Revision Knee Arthroplasty (R Rossi, Section Editor)

Chronic extensor mechanism insufficiency in total knee arthroplasty (TKA)

Authors: Umberto Cottino, Matthew P. Abdel, Arlen D. Hanssen

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2015

Login to get access

Abstract

Chronic insufficiency of the knee extensor mechanism is a very challenging pathology to treat. An insufficient extensor mechanism negatively affects implant survival and patient outcomes. The causes of insufficiency can be several, and the surgeon has to be prepared to manage them intraoperatively and postoperatively. Various reconstructive techniques have been proposed, but traditional results in patients with a total knee arthroplasty are usually inferior to those patients with native knee joints. It is of primary importance to understand the anatomy, and tailor the correct treatment to the patient.
Literature
1.
go back to reference Parker DA, Dunbar MJ, Rorabeck CH. Extensor mechanism failure associated with total knee arthroplasty: prevention and management. J Am Acad Orthop Surg. 2003;11(4):238–47.PubMed Parker DA, Dunbar MJ, Rorabeck CH. Extensor mechanism failure associated with total knee arthroplasty: prevention and management. J Am Acad Orthop Surg. 2003;11(4):238–47.PubMed
2.
go back to reference Rand JA, Morrey BF, Bryan RS. Patellar tendon rupture after total knee arthroplasty. Clin Orthop Relat Res. 1989;244:233–8.PubMed Rand JA, Morrey BF, Bryan RS. Patellar tendon rupture after total knee arthroplasty. Clin Orthop Relat Res. 1989;244:233–8.PubMed
3.
go back to reference Lynch AF, Rorabeck CH, Bourne RB. Extensor mechanism complications following total knee arthroplasty. J Arthroplast. 1987;2(2):135–40.CrossRef Lynch AF, Rorabeck CH, Bourne RB. Extensor mechanism complications following total knee arthroplasty. J Arthroplast. 1987;2(2):135–40.CrossRef
4.•
go back to reference Nam D et al. The management of extensor mechanism complications in total knee arthroplasty. AAOS exhibit selection. J Bone Joint Surg (Am Vol). 2014;96(6):e47. Updated review of the knee extensor mechanism repair.CrossRef Nam D et al. The management of extensor mechanism complications in total knee arthroplasty. AAOS exhibit selection. J Bone Joint Surg (Am Vol). 2014;96(6):e47. Updated review of the knee extensor mechanism repair.CrossRef
5.
go back to reference Pawar U et al. Scintigraphic assessment of patellar viability in total knee arthroplasty after lateral release. J Arthroplast. 2009;24(4):636–40.CrossRef Pawar U et al. Scintigraphic assessment of patellar viability in total knee arthroplasty after lateral release. J Arthroplast. 2009;24(4):636–40.CrossRef
6.
go back to reference Springer BD, Della Valle CJ. Extensor mechanism allograft reconstruction after total knee arthroplasty. J Arthroplast. 2008;23(7 Suppl):35–8.CrossRef Springer BD, Della Valle CJ. Extensor mechanism allograft reconstruction after total knee arthroplasty. J Arthroplast. 2008;23(7 Suppl):35–8.CrossRef
7.
go back to reference Bourne RB. Fractures of the patella after total knee replacement. Orthop Clin N Am. 1999;30(2):287–91.CrossRef Bourne RB. Fractures of the patella after total knee replacement. Orthop Clin N Am. 1999;30(2):287–91.CrossRef
8.
go back to reference Emerson Jr RH, Head WC, Malinin TI. Extensor mechanism reconstruction with an allograft after total knee arthroplasty. Clin Orthop Relat Res. 1994;303:79–85.PubMed Emerson Jr RH, Head WC, Malinin TI. Extensor mechanism reconstruction with an allograft after total knee arthroplasty. Clin Orthop Relat Res. 1994;303:79–85.PubMed
9.
go back to reference Malhotra R et al. Management of extensor mechanism deficit as a consequence of patellar tendon loss in total knee arthroplasty: a new surgical technique. J Arthroplast. 2008;23(8):1146–51.CrossRef Malhotra R et al. Management of extensor mechanism deficit as a consequence of patellar tendon loss in total knee arthroplasty: a new surgical technique. J Arthroplast. 2008;23(8):1146–51.CrossRef
10.
go back to reference Nazarian DG, Booth Jr RE. Extensor mechanism allografts in total knee arthroplasty. Clin Orthop Relat Res. 1999;367:123–9.PubMed Nazarian DG, Booth Jr RE. Extensor mechanism allografts in total knee arthroplasty. Clin Orthop Relat Res. 1999;367:123–9.PubMed
11.
go back to reference Benner RW et al. Tear patterns, surgical repair, and clinical outcomes of patellar tendon ruptures after anterior cruciate ligament reconstruction with a bone-patellar tendon-bone autograft. Am J Sports Med. 2012;40(8):1834–41.CrossRefPubMed Benner RW et al. Tear patterns, surgical repair, and clinical outcomes of patellar tendon ruptures after anterior cruciate ligament reconstruction with a bone-patellar tendon-bone autograft. Am J Sports Med. 2012;40(8):1834–41.CrossRefPubMed
12.
go back to reference Stinner DJ, Orr JD, Hsu JR. Fluoroquinolone-associated bilateral patellar tendon rupture: a case report and review of the literature. Mil Med. 2010;175(6):457–9.CrossRefPubMed Stinner DJ, Orr JD, Hsu JR. Fluoroquinolone-associated bilateral patellar tendon rupture: a case report and review of the literature. Mil Med. 2010;175(6):457–9.CrossRefPubMed
13.
go back to reference Stephenson AL et al. Tendon injury and fluoroquinolone use: a systematic review. Drug Saf. 2013. Stephenson AL et al. Tendon injury and fluoroquinolone use: a systematic review. Drug Saf. 2013.
14.
go back to reference Mont MA et al. Eliminating patellofemoral complications in total knee arthroplasty: clinical and radiographic results of 121 consecutive cases using the Duracon system. J Arthroplast. 1999;14(4):446–55.CrossRef Mont MA et al. Eliminating patellofemoral complications in total knee arthroplasty: clinical and radiographic results of 121 consecutive cases using the Duracon system. J Arthroplast. 1999;14(4):446–55.CrossRef
15.
go back to reference Jarvela T et al. Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee. 2005;12(2):139–43.CrossRefPubMed Jarvela T et al. Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee. 2005;12(2):139–43.CrossRefPubMed
16.•
go back to reference Browne JA, Hanssen AD. Reconstruction of patellar tendon disruption after total knee arthroplasty: results of a new technique utilizing synthetic mesh. J Bone Joint Surg. 2011;93(12):1137–43. Description of the surgical technique used in our institution.CrossRefPubMed Browne JA, Hanssen AD. Reconstruction of patellar tendon disruption after total knee arthroplasty: results of a new technique utilizing synthetic mesh. J Bone Joint Surg. 2011;93(12):1137–43. Description of the surgical technique used in our institution.CrossRefPubMed
17.
go back to reference Cadambi A, Engh GA. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty. A report of seven cases. J Bone Joint Surg (Am Vol). 1992;74(7):974–9. Cadambi A, Engh GA. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty. A report of seven cases. J Bone Joint Surg (Am Vol). 1992;74(7):974–9.
18.
go back to reference Dobbs RE et al. Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes. J Bone Joint Surg (Am Vol). 2005;87(1):37–45.CrossRef Dobbs RE et al. Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes. J Bone Joint Surg (Am Vol). 2005;87(1):37–45.CrossRef
19.
go back to reference Siwek CW, Rao JP. Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg (Am Vol). 1981;63(6):932–7. Siwek CW, Rao JP. Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg (Am Vol). 1981;63(6):932–7.
20.
go back to reference Larsen E, Lund PM. Ruptures of the extensor mechanism of the knee joint. Clinical results and patellofemoral articulation. Clin Orthop Relat Res. 1986;213:150–3.PubMed Larsen E, Lund PM. Ruptures of the extensor mechanism of the knee joint. Clinical results and patellofemoral articulation. Clin Orthop Relat Res. 1986;213:150–3.PubMed
21.
go back to reference Yun AG et al. Quadriceps rupture associated with a proximal quadriceps release in total knee arthroplasty. A report of three cases. J Bone Joint Surg (Am Vol). 2003;85-A(9):1809–11. Yun AG et al. Quadriceps rupture associated with a proximal quadriceps release in total knee arthroplasty. A report of three cases. J Bone Joint Surg (Am Vol). 2003;85-A(9):1809–11.
22.
go back to reference Chalidis BE et al. Management of periprosthetic patellar fractures. A systematic review of literature. Injury. 2007;38(6):714–24.CrossRefPubMed Chalidis BE et al. Management of periprosthetic patellar fractures. A systematic review of literature. Injury. 2007;38(6):714–24.CrossRefPubMed
23.
go back to reference Windsor RE, Scuderi GR, Insall JN. Patellar fractures in total knee arthroplasty. J Arthroplast. 1989;4(Suppl):S63–7.CrossRef Windsor RE, Scuderi GR, Insall JN. Patellar fractures in total knee arthroplasty. J Arthroplast. 1989;4(Suppl):S63–7.CrossRef
24.
go back to reference Backstein D, Safir O, Gross A. Periprosthetic fractures of the knee. J Arthroplast. 2007;22(4 Suppl 1):45–9.CrossRef Backstein D, Safir O, Gross A. Periprosthetic fractures of the knee. J Arthroplast. 2007;22(4 Suppl 1):45–9.CrossRef
25.
go back to reference Ortiguera CJ, Berry DJ. Patellar fracture after total knee arthroplasty. J Bone Joint Surg (Am Vol). 2002;84-A(4):532–40. Ortiguera CJ, Berry DJ. Patellar fracture after total knee arthroplasty. J Bone Joint Surg (Am Vol). 2002;84-A(4):532–40.
27.
go back to reference Goldberg VM et al. Patellar fracture type and prognosis in condylar total knee arthroplasty. Clin Orthop Relat Res. 1988;236:115–22.PubMed Goldberg VM et al. Patellar fracture type and prognosis in condylar total knee arthroplasty. Clin Orthop Relat Res. 1988;236:115–22.PubMed
28.
29.
go back to reference Ritter MA, Campbell ED. Postoperative patellar complications with or without lateral release during total knee arthroplasty. Clin Orthop Relat Res. 1987;219:163–8.PubMed Ritter MA, Campbell ED. Postoperative patellar complications with or without lateral release during total knee arthroplasty. Clin Orthop Relat Res. 1987;219:163–8.PubMed
30.
go back to reference Healy WL et al. Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors. J Arthroplast. 1995;10(2):197–201.CrossRef Healy WL et al. Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors. J Arthroplast. 1995;10(2):197–201.CrossRef
32.•
go back to reference Burnett RS et al. Extensor mechanism allograft reconstruction after total knee arthroplasty. A comparison of two techniques. J Bone Joint Surg (Am Vol). 2004;86-A(12):2694–9. Landmark paper in extensor mechanism surgery. They proved the importance of tensioning the allograft during surgery. Burnett RS et al. Extensor mechanism allograft reconstruction after total knee arthroplasty. A comparison of two techniques. J Bone Joint Surg (Am Vol). 2004;86-A(12):2694–9. Landmark paper in extensor mechanism surgery. They proved the importance of tensioning the allograft during surgery.
Metadata
Title
Chronic extensor mechanism insufficiency in total knee arthroplasty (TKA)
Authors
Umberto Cottino
Matthew P. Abdel
Arlen D. Hanssen
Publication date
01-12-2015
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 4/2015
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-015-9292-9

Other articles of this Issue 4/2015

Current Reviews in Musculoskeletal Medicine 4/2015 Go to the issue

Revision Knee Arthroplasty (R Rossi, Section Editor)

Metaphyseal bone loss in revision knee arthroplasty

Orthopedic Oncology: New Concepts and Techniques (JH Schwab, Section Editor)

Proximal humeral osteoarticular allografts: technique, pearls and pitfalls, outcomes

Orthopedic Oncology: New Concepts and Techniques (JH Schwab, Section Editor)

Proximal humerus allograft prosthetic composites: technique, outcomes, and pearls and pitfalls

Cartilage Repair Techniques in the Knee (A Dhawan, Section Editor)

Cartilage repair techniques in the knee: stem cell therapies

Cartilage Repair Techniques in the Knee (A Dhawan, Section Editor)

Osteochondral allograft

Cartilage Repair Techniques in the Knee (A Dhawan, Section Editor)

Meniscus transplantation