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Published in: Archives of Orthopaedic and Trauma Surgery 5/2014

01-05-2014 | Knee Arthroplasty

New modified Achilles tendon allograft for treatment of chronic patellar tendon ruptures following total knee arthroplasty

Authors: Oscar Ares, Luis M. Lozano, Cristina Medrano-Nájera, Dragos Popescu, Juan Carlos Martínez-Pastor, Josep Maria Segur, Francisco Maculé

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2014

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Abstract

Introduction

Patellar tendon rupture is an infrequent but debilitating lesion. Several surgical repairs have been suggested for patellar tendon rupture. Our aim is to propose a modified technique from the classic Achilles allograft procedure.

Materials and methods

Five consecutive patients diagnosed with chronic patellar tendon rupture following total knee arthroplasty (TKA) were included in the presented study. All patients were operated with a modified Achilles allograft technique, dividing the Achilles tendon into two bundles and overcrossing these through the distal part of the quadricipital tendon.

Results

All patients regained their extension mechanism and have discontinued using crutches. No complications were observed.

Conclusions

The modified Achilles allograft has shown to be a safe, time-reducing repair for chronic patellar tendon ruptures following TKA, and should be considered as an alternative surgical repair.
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Metadata
Title
New modified Achilles tendon allograft for treatment of chronic patellar tendon ruptures following total knee arthroplasty
Authors
Oscar Ares
Luis M. Lozano
Cristina Medrano-Nájera
Dragos Popescu
Juan Carlos Martínez-Pastor
Josep Maria Segur
Francisco Maculé
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 5/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-014-1951-6

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