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
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