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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2005

01-10-2005 | Knee

Reconstruction of the knee extensor mechanism after chronic buttonhole deformity

Author: Anjan Kumar Banerjee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2005

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Abstract

Chronic buttonhole deformity of the knee after patellectomy is an unusual and rare complication. Reconstruction of the extensor mechanism is difficult as the tissues are thinned and friable. The technique of repair was reinforced using semitendinosus and gracilis. The post-operative care initially concentrated on range of motion and then power. This allowed MRC grade four power with a range of movement of 0°–125° at 1 year.
Literature
1.
go back to reference Chari, Roy GK, Murty VS (1986) Repair of quadriceps apparatus following patellectomy in recent fractures of the patella: a new technique, with results. Aust N Z J Surg 48:99–103 Chari, Roy GK, Murty VS (1986) Repair of quadriceps apparatus following patellectomy in recent fractures of the patella: a new technique, with results. Aust N Z J Surg 48:99–103
2.
go back to reference de la Caffiniere JY, Aucouturier P (1979) A technique of patellectomy preserving the extensor apparatus. Rev Chir Orthop Reparatrice Appar Mot 65(4):231–234 de la Caffiniere JY, Aucouturier P (1979) A technique of patellectomy preserving the extensor apparatus. Rev Chir Orthop Reparatrice Appar Mot 65(4):231–234
3.
go back to reference Gunal I, Karatosun V (2001) Patellectomy: an overview with reconstructive procedures. Clin Orthop 389:74–78 Gunal I, Karatosun V (2001) Patellectomy: an overview with reconstructive procedures. Clin Orthop 389:74–78
4.
go back to reference Jacobsen, Christensen KS, Rasmussen OS (1985) Patellectomy—a 20 year follow-up. Acta Orthop Scand 56:430–432 Jacobsen, Christensen KS, Rasmussen OS (1985) Patellectomy—a 20 year follow-up. Acta Orthop Scand 56:430–432
5.
go back to reference Lennox IA, Cobb AG, Knowles J, Bentley G (1994) Knee function after patellectomy. A 12 to 48-year follow-up. J Bone Joint Surg Br 76:485–487PubMed Lennox IA, Cobb AG, Knowles J, Bentley G (1994) Knee function after patellectomy. A 12 to 48-year follow-up. J Bone Joint Surg Br 76:485–487PubMed
6.
go back to reference Noble HB, Hajek MR (1984) Boutonniere-type deformity of the knee following patellectomy and manipulations. A case report. J Bone Joint Surg Am 66:137–138 Noble HB, Hajek MR (1984) Boutonniere-type deformity of the knee following patellectomy and manipulations. A case report. J Bone Joint Surg Am 66:137–138
7.
go back to reference Peeples RE, Margo MK (1978) Function after patellectomy. Clin Orthop 132:180–186PubMed Peeples RE, Margo MK (1978) Function after patellectomy. Clin Orthop 132:180–186PubMed
8.
go back to reference Wascher DC, Summa CD (1998) Reconstruction of chronic rupture of the extensor mechanism after patellectomy. Clin Orthop 357:135–140 Wascher DC, Summa CD (1998) Reconstruction of chronic rupture of the extensor mechanism after patellectomy. Clin Orthop 357:135–140
9.
go back to reference Ziran BH, Goodfellow DB, Deluca LS, Heiple KG (1994) Knee function after patellectomy and cruciform repair of the extensor mechanism. Clin Orthop 302:138–146 Ziran BH, Goodfellow DB, Deluca LS, Heiple KG (1994) Knee function after patellectomy and cruciform repair of the extensor mechanism. Clin Orthop 302:138–146
Metadata
Title
Reconstruction of the knee extensor mechanism after chronic buttonhole deformity
Author
Anjan Kumar Banerjee
Publication date
01-10-2005
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2005
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-004-0596-3

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