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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-10-2014 | Knee

Patellofemoral arthrodesis as pain relief in extreme patella alta

Authors: S. Venkatesan, A. van Kampen

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2014

Abstract

Purpose

There is no golden standard management for neglected, chronic patellar tendon rupture as they are fairly rare. Nevertheless, accompanying pain can be highly debilitating. By presenting a case of patellar tendon repair, the exceptional results of a patellofemoral arthrodesis are described.

Methods

A patient presented herself with a sustained patellar tendon rupture which was neglected for several years, causing a complete extensor mechanism dysfunction. Her most debilitating complaint was pain. As ligament reconstruction in this case was not possible, patellofemoral arthrodesis was aimed for. The pain resulting from micromotions was subsided by implementing a unique technique using a lock-key principle to obtain a patellofemoral arthrodesis.

Results

The procedure proceeded without complications. The patient followed a regular post-operative plan and is now successful in maximum weight bearing her knee without pain.

Conclusions

A patellofemoral arthrodesis can be regarded safe and also very effective in the relief of pain in extreme patella alta.

Level of evidence

Therapeutic studies, Level IV.

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Kumar S, Rachakatla N, Kerin C, Kumar R (2010) Simultaneous traumatic rupture of the patellar tendon and the contralateral quadriceps tendon in a healthy individual. BMJ Case Rep. doi:10.1136/bcr.06.2010.3057

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Title: Patellofemoral arthrodesis as pain relief in extreme patella alta
Authors: S. Venkatesan
A. van Kampen
Publication date: 01-10-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3203-2

At a glance: The STEP trials

Springer Medicine

Patellofemoral arthrodesis as pain relief in extreme patella alta

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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