Knee Surg Relat Res.  2015 Jun;27(2):123-128. 10.5792/ksrr.2015.27.2.123.

Acute Patellar Tendon Rupture after Total Knee Arthroplasty Revision

Affiliations
  • 1Department of Orthopedic Surgery, Pusan National University Hospital, Busan, Korea. jtsuh@pusan.ac.kr
  • 2Department of Orthopedic Surgery, Nguyen Tri Phuong Hospital, Ho Chi Minh, Vietnam.

Abstract

Patellar tendon rupture is a catastrophic complication following total knee arthroplasty (TKA). Though revision TKA has been suspected of being a predisposing factor for the occurrence of patellar tendon rupture, there are few reports on patellar tendon rupture after revision TKA. Here, we present a case of acute patellar tendon rupture that occurred after TKA revision. In the patient, the patellar tendon was so thin and could not be repaired, and accordingly was sutured end to end. We used the anterior tibialis tendon allograft to augment the poor quality patellar tendon tissue. Fixation of the allograft was done by using the bone tunnel created through tibial tuberosity and suturing the allograft to the patellar tendon and quadriceps tendon. The patient was instructed to wear a full extension knee splint and was kept non-weight bearing for 6 weeks after operation. Full knee extension could be achieved 6 weeks postoperatively.

Keyword

Patella; Tendon rupture; Revision; Arthroplasty

MeSH Terms

Allografts
Arthroplasty*
Causality
Humans
Knee*
Patella
Patellar Ligament*
Rupture*
Splints
Tendons
Full Text Links
  • KSRR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr