Use of patellar allograft to reconstruct a patellar tendon-deficient knee after total joint arthroplasty

A catastrophic complication after total knee arthroplasty (TKA) is rupture of the patellar tendon. Several techniques for treatment have been described, including cast immobilization with or without operative repair, the use of a semitendinosus, fascia lata, or hamstring tendon autogenous graft, the...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 1995-06, Vol.10 (3), p.271-274
Main Authors: Zanotti, Robert M., Freiberg, Andrew A., Matthews, Larry S.
Format: Article
Language:English
Subjects:
Aged
allograft
dysfunction
Female
Humans
Knee Joint - surgery
Knee Prosthesis - adverse effects
Osteoarthritis - surgery
patellar tendon
repair
Rupture
Tendon Injuries - etiology
Tendon Injuries - surgery
Tendons - transplantation
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A catastrophic complication after total knee arthroplasty (TKA) is rupture of the patellar tendon. Several techniques for treatment have been described, including cast immobilization with or without operative repair, the use of a semitendinosus, fascia lata, or hamstring tendon autogenous graft, the use of a Dacron 4-mm vascular graft (U.S. Catheter and Instrument, Glen Falls, NY), the use of bovine xenograft and even transplantation of an entire allograft extensor mechanism. Treatment results of patellar tendon rupture after TKA can be discouraging. Altered tissue quality secondary to connective tissue diseases, diabetes, rheumatoid arthritis, lupus erythematosus, secondary hyperparathyroidism, or concurrent steroid medications contributes to poor results. Additionally, no one treatment has provided consistent clinical success. Successful treatment of a patient with a ruptured patellar tendon after TKA using the bone-patellar tendon-bone allograft commonly used for anterior cruciate ligament reconstruction is reported.
ISSN:0883-5403
1532-8406
DOI:10.1016/S0883-5403(05)80173-1