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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2010

01-08-2010 | Knee

Extensor mechanism repair and reconstruction using Achilles tendon allograft after bilateral patellar tendon rupture in a patient with rheumatoid arthritis

Authors: Zimin Wang, Qian Wang, Hao Tang, Yifan Kang

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2010

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Abstract

Here we report spontaneous rupture of the bilateral patellar tendons in a 49-year-old man with rheumatoid arthritis. The ruptured tendons were sutured via bone tunnels using Krackow stitch, and the extensor mechanism of the knee was reinforced with three bundles of allograft Achilles tendons. The patient recovered well after operation. He could actively flex, extend the knees and carry out full-weight-bearing activities, and he resumed the former employment 6 months after the operation. Follow-up showed that the patient had satisfactory range of motion of the knees 1 year later.
Literature
1.
go back to reference Peiro A, Ferrandis R, Garcia L, Alcazar E (1975) Simultaneous and spontaneous bilateral rupture of the patellar tendon in rheumatoid arthritis. A case report. Acta Orthop Scand 46:700–703CrossRefPubMed Peiro A, Ferrandis R, Garcia L, Alcazar E (1975) Simultaneous and spontaneous bilateral rupture of the patellar tendon in rheumatoid arthritis. A case report. Acta Orthop Scand 46:700–703CrossRefPubMed
2.
go back to reference Carson WG Jr (1985) Diagnosis of extensor mechanism disorders. Clin Sports Med 4:231–246PubMed Carson WG Jr (1985) Diagnosis of extensor mechanism disorders. Clin Sports Med 4:231–246PubMed
3.
go back to reference Kothari P, Mohan N, Hunter JB, Kerslake R (1998) Case report. Bilateral simultaneous patellar tendon ruptures associated with osteogenesis imperfecta. Ann R Coll Surg Engl 80:416–418PubMed Kothari P, Mohan N, Hunter JB, Kerslake R (1998) Case report. Bilateral simultaneous patellar tendon ruptures associated with osteogenesis imperfecta. Ann R Coll Surg Engl 80:416–418PubMed
4.
go back to reference Rose PS, Frassica FJ (2001) Atraumatic bilateral patellar tendon rupture, a case report and review of the literature. J Bone Joint Surg Am 83:1382–1386PubMed Rose PS, Frassica FJ (2001) Atraumatic bilateral patellar tendon rupture, a case report and review of the literature. J Bone Joint Surg Am 83:1382–1386PubMed
5.
go back to reference Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–104PubMed Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–104PubMed
6.
go back to reference Krackow KA, Thomas SC, Jones LC (1986) A new stitch for ligament-tendon fixation. Brief note. J Bone Joint Surg Am 68:764–766PubMed Krackow KA, Thomas SC, Jones LC (1986) A new stitch for ligament-tendon fixation. Brief note. J Bone Joint Surg Am 68:764–766PubMed
7.
go back to reference Ho HM, Lee WK (2003) Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method. Knee Surg Sports Traumatol Arthrosc 11:105–111PubMed Ho HM, Lee WK (2003) Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method. Knee Surg Sports Traumatol Arthrosc 11:105–111PubMed
8.
go back to reference Järvelä T, Halonen P, Järvelä K, Moilanen T (2005) Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee 12:139–143CrossRefPubMed Järvelä T, Halonen P, Järvelä K, Moilanen T (2005) Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee 12:139–143CrossRefPubMed
9.
go back to reference Milankov ZM, Semnic R, Miljković N, Harhaji V (2008) Reconstruction of patellar tendon rupture after anterior cruciate ligament reconstruction: a case report. Knee 15:419–422CrossRef Milankov ZM, Semnic R, Miljković N, Harhaji V (2008) Reconstruction of patellar tendon rupture after anterior cruciate ligament reconstruction: a case report. Knee 15:419–422CrossRef
10.
go back to reference Emerson RH Jr, Head WC, Malinin TI (1994) Extensor mechanism reconstruction with an allograft after total knee arthroplasty. Clin Orthop Relat Res 303:79–85PubMed Emerson RH Jr, Head WC, Malinin TI (1994) Extensor mechanism reconstruction with an allograft after total knee arthroplasty. Clin Orthop Relat Res 303:79–85PubMed
11.
go back to reference Emerson RH Jr, Head WC, Malinin TI (1990) Reconstruction of patellar tendon rupture after total knee arthroplasty with an extensor mechanism allograft. Clin Orthop Relat Res 260:154–161PubMed Emerson RH Jr, Head WC, Malinin TI (1990) Reconstruction of patellar tendon rupture after total knee arthroplasty with an extensor mechanism allograft. Clin Orthop Relat Res 260:154–161PubMed
12.
go back to reference Crossett LS, Sinha RK, Sechriest VF, Rubash HE (2002) Reconstruction of a ruptured patellar tendon with Achilles tendon allograft following total knee arthroplasty. J Bone Joint Surg Am 84:1354–1361PubMed Crossett LS, Sinha RK, Sechriest VF, Rubash HE (2002) Reconstruction of a ruptured patellar tendon with Achilles tendon allograft following total knee arthroplasty. J Bone Joint Surg Am 84:1354–1361PubMed
13.
go back to reference Falconiero RP, Pallis MP (1996) Chronic rupture of a patellar tendon: a technique for reconstruction with Achilles allograft. Arthroscopy 12:623–626CrossRefPubMed Falconiero RP, Pallis MP (1996) Chronic rupture of a patellar tendon: a technique for reconstruction with Achilles allograft. Arthroscopy 12:623–626CrossRefPubMed
14.
go back to reference Muratli HH, Celebi L, Hapa O, Bicimoglu A (2005) Bilateral patellar tendon rupture in a child: a case report. Knee Surg Sports Traumatol Arthrosc 13:677–682CrossRefPubMed Muratli HH, Celebi L, Hapa O, Bicimoglu A (2005) Bilateral patellar tendon rupture in a child: a case report. Knee Surg Sports Traumatol Arthrosc 13:677–682CrossRefPubMed
Metadata
Title
Extensor mechanism repair and reconstruction using Achilles tendon allograft after bilateral patellar tendon rupture in a patient with rheumatoid arthritis
Authors
Zimin Wang
Qian Wang
Hao Tang
Yifan Kang
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2010
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-1021-8

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