Delayed reconstruction of quadriceps tendon rupture with Endobutton: a new technique
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Kaya Memisoglu Halil Atmaca Hakan Sarman Adem Aydn
- چاپ و سال / کشور: 2010
Description
Bilateral spontaneous rupture of the quadriceps tendon is an uncommon and serious injury that usually occurs inmiddle aged to elderly patientswho have additional medical conditions such as rheumatoid arthritis, chronic steroid usage, and diabetes mellitus.Within this group, delayed treatment is an infrequent but difficult clinical situation. Fibrous degeneration, muscle contraction, and poor bone quality of the patient moved us to find new method for restoration. We report a modified technique for the surgical treatment of the spontaneous bilateral quadriceps tendon rupture in a patient with rheumatoid arthritis and chronic steroid usage. We performed only one tunnel to the patella by using 2.5-mmdrill bit, and we used Endobutton fixation device (Smith & Nephew, USA) for postfixation on the distal pole of the patella. In this way, it seems safer and may have low morbidity with multiholes method for the risk of patellar fractures that occurs due to additional medical conditions such as rheumatoid arthritis and glucocorticoid-induced osteoporosis.
Eur J Orthop Surg Traumatol (2011) 21:371–374 DOI 10.1007/s00590-010-0718-1 Received: 2 September 2010 / Accepted: 13 October 2010 / Published online: 10 November 2010
