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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2017; 58(02): 059-065
DOI: 10.1055/s-0037-1606252
Review Article | Artículo de Revisión
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Técnica de reconstrucción en roturas recidivantes del tendón patelar

Reconstruction Technique in Recurrent Patellar Tendon Ruptures
Pedro Díaz Allende
1   Servicio de Ortopedia y Traumatología, Hospital Ricardo Valenzuela Sáez, Rengo, Chile
,
Andrés Cárdenas López
2   Médico-Cirujano adjunto, Hospital Ricardo Valenzuela Sáez, Rengo, Chile
,
Alexander Pérez Acevedo
1   Servicio de Ortopedia y Traumatología, Hospital Ricardo Valenzuela Sáez, Rengo, Chile
,
Joel Hernández De León
1   Servicio de Ortopedia y Traumatología, Hospital Ricardo Valenzuela Sáez, Rengo, Chile
,
Julio Hernández Echazabal
1   Servicio de Ortopedia y Traumatología, Hospital Ricardo Valenzuela Sáez, Rengo, Chile
› Author Affiliations
Further Information

Publication History

06 May 2017

28 July 2017

Publication Date:
23 August 2017 (online)

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Resumen

La rotura recidivante del tendón patelar es infrecuente y generalmente asociada a comorbilidad sistémica que altera la interfaz tendón-hueso o a consecuencia de un retorno inadecuado a actividades, previo a completar el proceso de rehabilitación. La reconstrucción quirúrgica se basa en el aumento tendíneo con autoinjertos o aloinjertos. El uso de autoinjertos evita el riesgo de transmisión de enfermedades infecciosas y costos en relación a los aloinjertos y no requiere un segundo tiempo quirúrgico para remover material utilizado en la protección del tendón reconstruido, en el caso de utilizar refuerzos con alambres de cerclaje o cables de acero. Se presenta la reconstrucción del tendón patelar con autoinjerto semitendinoso-gracilis, por ser una técnica validada en la literatura, que restablece la fuerza y la estabilidad del mecanismo extensor de forma costo-efectiva y permite el retorno adecuado a las actividades de la vida diaria.

Abstract

Recurrent rupture of the patellar tendon is infrequent and usually associated with systemic comorbidity that alters the tendon-bone interface or as a result of an inadequate return to activities, prior to completing the rehabilitation process. Surgical reconstruction is based on tendon augmentation with autografts or allografts. The use of autografts avoids the risk of infectious diseases and costs in relation to allografts and does not require a second surgical time to remove material used in the protection of the reconstructed tendon, in case of using cerclage wires or steel cables reinforcements. Reconstruction of the patellar tendon with semitendinosus-gracilis autograft is presented as a technique validated in the literature, which restores the strength and stability of the extensor mechanism in a cost-effective way and allows adequate return to activities of daily living.

Palabras Clave

recidivante - rotura - técnica reconstrucción - tendón patelar - tendón rotuliano

Keywords

knee - patellar tendón - reconstruction technique - recurrent - rupture

Responsabilidades Éticas de la Publicación

Protección de personas y animales

Para esta investigación no se han realizado experimentos en seres humanos ni en animales. En este artículo se realizó el consentimiento informado de investigación aprobado por el Comité de Ética a los pacientes que permitieron la presentación de sus fotografías y estudio imagenológico, preservando la confidencialidad de los datos.

Declaración y verificación de la presentación

Este trabajo no ha sido previamente publicado ni presentado simultáneamente en otra revista y tiene la autorización de los autores y su establecimiento asistencial.


 

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