Management of extensor mechanism injuries following total knee arthroplasty

被引:4
|
作者
Abdel, M. P. [1 ]
Fuchs, M. [2 ]
von Roth, P. [2 ]
机构
[1] Mayo Clin, Dept Orthoped Surg, Rochester, MN USA
[2] Charite, Ctr Muskuloskeletale Chirurg, Orthopad Klin, Charitepl 1, D-10117 Berlin, Germany
来源
ORTHOPADE | 2016年 / 45卷 / 01期
关键词
Injuries; tendon; Knee injuries; Marlex; Patella; Propylene polymers; PERIPROSTHETIC PATELLAR FRACTURES; PATELLOFEMORAL COMPLICATIONS; ALLOGRAFT RECONSTRUCTION; TENDON-RUPTURE; DISRUPTION;
D O I
10.1007/s00132-015-3198-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Extensor mechanism injuries in total knee arthroplasty include disruption of the quadriceps tendon, disruption of the patellar tendon, and/or patellar fractures. While these injuries are rare, they are a devastating complication to manage. This review summarizes the anatomy of the extensor mechanism, risk factors for extensor mechanism injuries, and the prevalence and diagnosis of extensor mechanism injuries. In addition, this review outlines non-operative and operative management options. A new surgical approach for the reconstruction and augmentation of the extensor mechanism with the use of a synthetic mesh is described in detail. In multiple publications and in our own experience this newly developed technique shows promising results.
引用
收藏
页码:47 / 53
页数:7
相关论文
共 50 条
  • [31] Risk Factors Associated With Quadriceps Tendon Extensor Mechanism Disruption Following Total Knee Arthroplasty
    Lin, Shu
    Sproul, David
    Agarwal, Amil
    Harris, Andrew B.
    Golladay, Gregory J.
    Thakkar, Savyasachi C.
    JOURNAL OF ARTHROPLASTY, 2024, 39 (07): : 1840 - 1844.e1
  • [32] Complications following total knee arthroplasty in patients with prior extensor mechanism dysfunction: A retrospective review
    Grayson, Whisper
    Baek, Nathaniel
    Hopkinson, William
    Schmitt, Daniel
    Brown, Nicholas M.
    JOURNAL OF ORTHOPAEDICS, 2025, 62 : 90 - 93
  • [33] Reconstruction of the extensor mechanism in revision total knee arthroplasty and tumor surgery
    Gerdesmeyer, L
    Gollwitzer, H
    Diehl, R
    Burgkart, R
    Steinhauser, E
    ORTHOPADE, 2006, 35 (02): : 169 - +
  • [34] Gastrocnemius flap for extensor mechanism deficiency with and without total knee arthroplasty
    Busfield, BT
    Huffman, GR
    Nahai, F
    Hoffman, W
    Ries, MD
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (428) : 190 - 197
  • [35] Survivorship of Extensor Mechanism Allograft Reconstruction After Total Knee Arthroplasty
    Ricciardi, Benjamin F.
    Oi, Kathryn
    Trivellas, Myra
    Lee, Yuo-yu
    Della Valle, A. G.
    Westrich, Geoffrey H.
    JOURNAL OF ARTHROPLASTY, 2017, 32 (01): : 183 - 188
  • [36] Lengthening the moment arm of the patella confers enhanced extensor mechanism power following total knee arthroplasty
    Hamilton, David F.
    Simpson, A. Hamish R. W.
    Burnett, Richard
    Patton, James T.
    Moran, Matthew
    Clement, Nicholas D.
    Howie, Colin R.
    Gaston, Paul
    JOURNAL OF ORTHOPAEDIC RESEARCH, 2013, 31 (08) : 1201 - 1207
  • [37] Total knee arthroplasty in a knee with triple deformity of femur-tibia-extensor mechanism
    Fan, Jason C. H.
    Kwok, K. B.
    Hung, Y. W.
    JOURNAL OF ORTHOPAEDIC SURGERY, 2018, 26 (01):
  • [38] Results of revision total knee arthroplasty after exposure of the knee with extensor mechanism tenolysis
    Sharkey, PF
    Homesley, HD
    Shastri, S
    Jacoby, SM
    Hozack, WJ
    Rothman, RH
    JOURNAL OF ARTHROPLASTY, 2004, 19 (06): : 751 - 756
  • [39] Sport injuries of the extensor mechanism of the knee
    Schäfer, FKW
    Order, B
    Bolte, H
    Heller, M
    Brossmann, J
    RADIOLOGE, 2002, 42 (10): : 799 - 810
  • [40] Management of stiffness following total knee arthroplasty
    Parvizi, Javad
    Tarity, T. David
    Steinbeck, Marla J.
    Politi, Roman G.
    Joshi, Ashish
    Purtill, James J.
    Sharkey, Peter F.
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A : 175 - 181