کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
10078826 1603618 2005 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Extensor Mechanism Disruption After Contralateral Middle Third Patellar Tendon Harvest for Anterior Cruciate Ligament Revision Reconstruction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Extensor Mechanism Disruption After Contralateral Middle Third Patellar Tendon Harvest for Anterior Cruciate Ligament Revision Reconstruction
چکیده انگلیسی
The contralateral central third patellar tendon autograft is a reliable graft choice for revision, and recently, for primary reconstruction of the anterior cruciate ligament (ACL). We report 2 complications including a lateral third tibial tuberosity fracture and a distal patellar tendon avulsion with contralateral patellar tendon autograft with disruption of the extensor mechanism of the donor knee. A patient sustained a lateral tibial tuberosity fracture of the donor knee and underwent open reduction and internal fixation. At 1-year follow-up, she had no extensor lag and full range of motion. Another patient sustained a distal patellar tendon avulsion of the donor knee and underwent primary repair. Three years postoperatively, she had a full range of motion and no extensor lag. Although contralateral middle third patellar tendon autograft for primary and revision ACL reconstruction is established in the literature, extensor mechanism complications can occur. Technical considerations are important to avoid weakening the remaining patellar tendon insertion. Postoperative nerve blocks or local anesthetics may alter pain feedback for regulation of weight bearing and contribute to overload of the donor knee.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 21, Issue 10, October 2005, Pages 1268.e1-1268.e6
نویسندگان
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