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J Knee Surg 2015; 28(06): 483-488
DOI: 10.1055/s-0034-1390332
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patellar Tendon Reconstruction in Total Knee Arthroplasty: A New Technique

Ashok Rajgopal
1   Knee Unit, Medanta Bone and Joint Institute, Medanta—The Medicity, Gurgaon, Haryana, India
,
Attique Vasdev
1   Knee Unit, Medanta Bone and Joint Institute, Medanta—The Medicity, Gurgaon, Haryana, India
,
Vivek Dahiya
1   Knee Unit, Medanta Bone and Joint Institute, Medanta—The Medicity, Gurgaon, Haryana, India
› Author Affiliations
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Publication History

28 June 2014

04 August 2014

Publication Date:
24 September 2014 (online)

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Abstract

Patellar tendon disruption is one of the most dreaded complications following total knee arthroplasty (TKA) impacting both implant function and implant longevity. To overcome the concerns regarding allografts and improve outcomes with augmentation techniques, we describe a technique, which we have successfully used over the past 4 years with good results. Seven patients underwent reconstruction for patellar tendon disruption using our technique from a cohort of eight patients. Extensor lag improved from a mean of 40 degrees to less than 5 degrees postoperatively. Range of motion improved from a mean of 105 degrees to 115 degrees of flexion. There was improvement in Knee Society Functional Score from a preoperative mean of 30 to 75 points. The Knee Society Pain Score, however, did not show much improvement. We believe our technique to be a solution to the difficult problem of patellar tendon ruptures after TKA and we continue to perform this procedure.

Keywords

patellar tendon rupture - quadriceps tendon graft - bone block - semitendinosus
 

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