Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture

Kengo Harato, Shu Kobayashi, Kazuhiko Udagawa, Yu Iwama, Ko Masumoto, Hiroyuki Enomoto, Yasuo Niki

Research output: Contribution to journalArticle

Abstract

Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon. Generally, surgeons are concerned about postoperative complications, including loss of knee flexion, quadriceps weakness, and wound problems. One of the key points to avoid these complications is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.

Original languageEnglish
JournalArthroscopy Techniques
DOIs
Publication statusAccepted/In press - 2017

Fingerprint

Patellar Ligament
Tendons
Rupture
Ligaments
Reconstructive Surgical Procedures
Transplants
Achilles Tendon
Polyethylene
Allografts
Knee
Bone and Bones
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

@article{5867bae46ee04834aa80d3f2a0eab050,
title = "Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture",
abstract = "Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon. Generally, surgeons are concerned about postoperative complications, including loss of knee flexion, quadriceps weakness, and wound problems. One of the key points to avoid these complications is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.",
author = "Kengo Harato and Shu Kobayashi and Kazuhiko Udagawa and Yu Iwama and Ko Masumoto and Hiroyuki Enomoto and Yasuo Niki",
year = "2017",
doi = "10.1016/j.eats.2017.07.015",
language = "English",
journal = "Arthroscopy Techniques",
issn = "2212-6287",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture

AU - Harato, Kengo

AU - Kobayashi, Shu

AU - Udagawa, Kazuhiko

AU - Iwama, Yu

AU - Masumoto, Ko

AU - Enomoto, Hiroyuki

AU - Niki, Yasuo

PY - 2017

Y1 - 2017

N2 - Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon. Generally, surgeons are concerned about postoperative complications, including loss of knee flexion, quadriceps weakness, and wound problems. One of the key points to avoid these complications is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.

AB - Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon. Generally, surgeons are concerned about postoperative complications, including loss of knee flexion, quadriceps weakness, and wound problems. One of the key points to avoid these complications is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.

UR - http://www.scopus.com/inward/record.url?scp=85031492210&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031492210&partnerID=8YFLogxK

U2 - 10.1016/j.eats.2017.07.015

DO - 10.1016/j.eats.2017.07.015

M3 - Article

AN - SCOPUS:85031492210

JO - Arthroscopy Techniques

JF - Arthroscopy Techniques

SN - 2212-6287

ER -