Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation
Patellar tendon ruptures are the third most common injury to the extensor mechanism. These injuries are debilitating to the patient, and delays in treatment can present a challenge to the treating surgeon. Chronic patellar tendon injuries are rare and are more difficult to manage given proximal pate...
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2020-04-01
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doaj-be3314074e804a04ba18917f5720cfa12021-06-10T04:56:49ZengElsevierArthroscopy Techniques2212-62872020-04-0194e469e475Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture AugmentationEyal Z. Ginesin, M.D.0Natalia M. Wojnowski, B.S.1Ronak M. Patel, M.D.2American Knee Institute, Westmont, Illinois, U.S.A; Hinsdale Orthopaedics, Westmont, Illinois, U.S.AAmerican Knee Institute, Westmont, Illinois, U.S.AAmerican Knee Institute, Westmont, Illinois, U.S.A; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A; Address correspondence to Ronak M. Patel, M.D., American Knee Institute, Hinsdale Orthopaedics, 1010 Executive Ct, Ste 250, Westmont, IL 60559, U.S.A.Patellar tendon ruptures are the third most common injury to the extensor mechanism. These injuries are debilitating to the patient, and delays in treatment can present a challenge to the treating surgeon. Chronic patellar tendon injuries are rare and are more difficult to manage given proximal patellar retraction, scarring, and atrophy of surrounding tissues. There is no consensus on the optimal approach for treatment, and numerous reconstruction techniques have been described using a variety of graft choices and fixation methods. We describe our surgical technique for a 3-fold reconstruction of a chronic patellar tendon rupture using an Achilles tendon allograft augmented with a vascularized ipsilateral hamstring tendon autograft and additional FiberTape augmentation. The aim of this procedure is to restore patellar height and prevent extensor lag.http://www.sciencedirect.com/science/article/pii/S2212628719302609 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eyal Z. Ginesin, M.D. Natalia M. Wojnowski, B.S. Ronak M. Patel, M.D. |
spellingShingle |
Eyal Z. Ginesin, M.D. Natalia M. Wojnowski, B.S. Ronak M. Patel, M.D. Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation Arthroscopy Techniques |
author_facet |
Eyal Z. Ginesin, M.D. Natalia M. Wojnowski, B.S. Ronak M. Patel, M.D. |
author_sort |
Eyal Z. Ginesin, M.D. |
title |
Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation |
title_short |
Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation |
title_full |
Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation |
title_fullStr |
Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation |
title_full_unstemmed |
Patellar Tendon Reconstruction for a Chronic Extensor Mechanism Deficit Using an Achilles Tendon Allograft With Hamstring Autograft and Suture Augmentation |
title_sort |
patellar tendon reconstruction for a chronic extensor mechanism deficit using an achilles tendon allograft with hamstring autograft and suture augmentation |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2020-04-01 |
description |
Patellar tendon ruptures are the third most common injury to the extensor mechanism. These injuries are debilitating to the patient, and delays in treatment can present a challenge to the treating surgeon. Chronic patellar tendon injuries are rare and are more difficult to manage given proximal patellar retraction, scarring, and atrophy of surrounding tissues. There is no consensus on the optimal approach for treatment, and numerous reconstruction techniques have been described using a variety of graft choices and fixation methods. We describe our surgical technique for a 3-fold reconstruction of a chronic patellar tendon rupture using an Achilles tendon allograft augmented with a vascularized ipsilateral hamstring tendon autograft and additional FiberTape augmentation. The aim of this procedure is to restore patellar height and prevent extensor lag. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628719302609 |
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