- 期刊
- OpenAccess
Neglected Ruptures of the Patellar Tendon: Repair Options in a Resource Poor Setting
並列摘要
Introduction: Rupture of the patellar tendon is a disabling injury. Better results are reported in immediate repairs of fresh ruptures. In neglected ruptures, restoration of the structural and functional integrity of the extensor apparatus is difficult. This report highlights the use of an achilles osteotendinous autograft in the repair of an 8-month old neglected rupture of the patellar tendon; and the Mandelbaum technique with open tendon harvest in the repair of a to-week old neglected rupture. Case Series: A 23-year-old male presented with inability to extend the left knee; eight months after a road traffic accident. Physical and radiological findings were consistent with a rupture of the left patellar tendon. The patient was offered tendon reconstruction using an Achilles osteotendinous autograft from the contralateral lower limb. One year later, he was pleased with the outcome. A 29-year-old army officer presented with pain, swelling and inability to extend his right knee since 10 weeks. Physical and X-ray findings were in keeping with a rupture of the right patellar tendon. The patient was offered patellar tendon reconstruction using the Mandelbaum technique. Twenty-eight weeks postoperatively, the patient had a range of motion of 0-105° in the right knee and has since returned to a functional professional and recreational lifestyle. Conclusion: Neglected ruptures of patella commonly yield suboptimal results following repair. In resource-poor settings, an autogenous achilles tendon technique as well as the Mandelbaum technique may prove beneficial in the treatment of this difficult condition.
延伸閱讀
- 陳奕甫、唐誌陽、張怡雯（2014）。Biomechanical Factors Influencing the Patellar Tendinopathy。大專體育，(128)，55-62。https://doi.org/10.6162/SRR.2014.128.07
- Lai, C. D., Chang, C. W., Hsu, I. L., Lin, C. J., Yang, C. Y., & Lai, K. A. (2010). Easily Missed Patellar Lesions in Emergency Department: A Report of Four Cases. Journal of Emergency Medicine, Taiwan, 12(4), 119-122. https://www.airitilibrary.com/Article/Detail?DocID=15623386-201012-201102120054-201102120054-119-122
- Wu, C. D. (2004). Neglected Quadriceps Tendon Rupture: A Case Report. Formosan Journal of Surgery, 37(3), 143-147. https://www.airitilibrary.com/Article/Detail?DocID=10116788-200406-37-3-143-147-a
- Kao, F. C., Chung, T. C., Tu, Y. K., Hsiao, C. K., & Liu, P. H. (2018). Surgical Technique of Reconstructing Patellar Tendon with Ipsilateral Hamstring Tendons with Preserved Distal Insertion. E-Da Medical Journal, 5(2), 1-8. https://doi.org/10.6966/EDMJ.201806_5(2).0001
- 蔡易昌、吳勝賢（2005）。Manipulative Close Reduction with Peripatellapexor for Patellar Fracture。Mid-Taiwan Journal of Medicine，10(s)，s62-s66。https://doi.org/10.6558/MTJM.2005.10(s).9