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European Journal of Orthopaedic Surgery & Traumatology

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01-10-2019 | Patellar Tendon Rupture | Technical Note • KNEE - TRAUMA

Intra-operative patellar fracture during chronic patellar tendon rupture reconstruction: salvage and prophylactic modified techniques

Authors: Amr Abdel-Mordy Ali Kandeel, Adel Ibraheem El-Saeady, Taher Abdel-Sattar Eid

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 7/2019

Abstract

Management of chronic neglected patellar tendon rupture represents a challenging condition for the orthopedic surgeons to deal with due to many factors such as quadriceps muscle atrophy, superior migration of the patella, e.g., patella alta, peri-patellar adhesions and patellar tendon atrophy. Such difficulties might be further complicated by intra-operative patellar fracture during patellar tendon reconstruction. In the current article, the authors report (1) a salvage procedure for such devastating intra-operative complication, based on bypassing the patella and gaining the advantage of the quadriceps tendon for structural and functional restoration of the knee extensor mechanism, and (2) prophylactically a technical modification of patellar tendon reconstruction guarding against such inadvertent patellar fracture.

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Title: Intra-operative patellar fracture during chronic patellar tendon rupture reconstruction: salvage and prophylactic modified techniques
Authors: Amr Abdel-Mordy Ali Kandeel
Adel Ibraheem El-Saeady
Taher Abdel-Sattar Eid
Publication date: 01-10-2019
Publisher: Springer Paris
Keyword: Patellar Tendon Rupture
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 7/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02459-7

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Intra-operative patellar fracture during chronic patellar tendon rupture reconstruction: salvage and prophylactic modified techniques

Abstract

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