Combined Transosseous and Osteosynthetic Reconstruction of Chronic Patellar Tendon Rupture Using Achilles Tendon Allograft With Bone Block

被引:0
作者
Maier II, Stephen [1 ]
Dean, Emmanuel [1 ,2 ]
Pikowski, Matthew [1 ]
Jackson II, Edward [1 ]
机构
[1] Emory Univ, Dept Orthopaed Surg, Atlanta, GA USA
[2] Morehouse Sch Med, Dept Surg, Atlanta, GA USA
关键词
HAMSTRING AUTOGRAFT; REPAIR;
D O I
10.1016/j.eats.2025.103537
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Patellar tendon (PT) ruptures can substantially diminish the quality of life for patients, imposing significant functional limitations and persistent pain. If left untreated, the tendon presents surgical challenges, including scar tissue development, contracture, muscle atrophy, stiffness, and compromised vascular integrity. This technical note describes a technique using Achilles tendon allograft with bone block fixed to the tibia with tendinous graft limbs passed through patellar bone tunnels. Risky drill tunnels and potentially irritating hardware are avoided, healing surface area for graft incorporation is maximized, supplementary fixation is included, and the length-tension relationship is matched to the contralateral knee.
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页数:7
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