Complication after the reconstruction of the old patellar tendon rupture
Introduction. Chronic patellar tendon rupture (PTR) occurs rarely; its frequency and prevalence are unknown. There are very little data on the late patellar tendon reconstruction in rheumatoid arthritis and its complications. Case report. We presented a surgical repair of a PTR with early postoperat...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2022-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000136N.pdf |
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| author | Ninković Srđan Golijanin Petar Milankov Vukadin |
| author_facet | Ninković Srđan Golijanin Petar Milankov Vukadin |
| author_sort | Ninković Srđan |
| collection | DOAJ |
| description | Introduction. Chronic patellar tendon rupture (PTR) occurs rarely; its frequency and prevalence are unknown. There are very little data on the late patellar tendon reconstruction in rheumatoid arthritis and its complications. Case report. We presented a surgical repair of a PTR with early postoperative rupture of the contralateral patellar tendon for a 21-year-old woman with a past medical history of juvenile rheumatoid arthritis (treated with corticosteroids) who sustained initial injury 11 months prior to the presentation. The contralateral side was used for autograft harvesting. We used bone-tendon-bone (BTB) autograft and allografts followed by double-wire loop reinforcement and immediate postoperative mobilization. The patient was followed for 2 years, and the function of both knees was re-stored completely, with a full active range of motion. In this case, reconstruction of an 11-month-old chronic PTR (with complete resorption of the tendon and completely separated infrapatellar pads, complicated by the contralateral PTR) with BTB autograft and allografts and double wire loop reinforcement gave an excellent functional result. Two years after the surgical treatment, the extensor function of both knees was completely restored with a full range of movements. The patient reported satisfying outcomes and was able to return to all pre-injury activities without the assistance of orthopedic devices. Conclusion. This case report highlights the importance of the early diagnosis and describes operative techniques used in chronic PTR repair and treatments of the early postoperative complications such as rupture of the contralateral tendon. |
| format | Article |
| id | doaj-art-88e6d0046b754b129ee8711ecd63a8de |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-88e6d0046b754b129ee8711ecd63a8de2025-08-20T03:07:12ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202022-01-0179551051510.2298/VSP200914136N0042-84502000136NComplication after the reconstruction of the old patellar tendon ruptureNinković Srđan0Golijanin Petar1Milankov Vukadin2https://orcid.org/0000-0001-5009-0372University Clinical Center of Vojvodina, Clinic for Orthopedic Surgery and Traumatology, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, SerbiaUniversity Clinical Center of Vojvodina, Clinic for Orthopedic Surgery and Traumatology, Novi Sad, Serbia + Institute for Health Care of Children and Youth of Vojvodina, Novi Sad, SerbiaIntroduction. Chronic patellar tendon rupture (PTR) occurs rarely; its frequency and prevalence are unknown. There are very little data on the late patellar tendon reconstruction in rheumatoid arthritis and its complications. Case report. We presented a surgical repair of a PTR with early postoperative rupture of the contralateral patellar tendon for a 21-year-old woman with a past medical history of juvenile rheumatoid arthritis (treated with corticosteroids) who sustained initial injury 11 months prior to the presentation. The contralateral side was used for autograft harvesting. We used bone-tendon-bone (BTB) autograft and allografts followed by double-wire loop reinforcement and immediate postoperative mobilization. The patient was followed for 2 years, and the function of both knees was re-stored completely, with a full active range of motion. In this case, reconstruction of an 11-month-old chronic PTR (with complete resorption of the tendon and completely separated infrapatellar pads, complicated by the contralateral PTR) with BTB autograft and allografts and double wire loop reinforcement gave an excellent functional result. Two years after the surgical treatment, the extensor function of both knees was completely restored with a full range of movements. The patient reported satisfying outcomes and was able to return to all pre-injury activities without the assistance of orthopedic devices. Conclusion. This case report highlights the importance of the early diagnosis and describes operative techniques used in chronic PTR repair and treatments of the early postoperative complications such as rupture of the contralateral tendon.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000136N.pdfearly diagnosisorthopedic procedurespatellar ligamentpostoperative complicationsreconstructive surgical proceduresrupture |
| spellingShingle | Ninković Srđan Golijanin Petar Milankov Vukadin Complication after the reconstruction of the old patellar tendon rupture Vojnosanitetski Pregled early diagnosis orthopedic procedures patellar ligament postoperative complications reconstructive surgical procedures rupture |
| title | Complication after the reconstruction of the old patellar tendon rupture |
| title_full | Complication after the reconstruction of the old patellar tendon rupture |
| title_fullStr | Complication after the reconstruction of the old patellar tendon rupture |
| title_full_unstemmed | Complication after the reconstruction of the old patellar tendon rupture |
| title_short | Complication after the reconstruction of the old patellar tendon rupture |
| title_sort | complication after the reconstruction of the old patellar tendon rupture |
| topic | early diagnosis orthopedic procedures patellar ligament postoperative complications reconstructive surgical procedures rupture |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502000136N.pdf |
| work_keys_str_mv | AT ninkovicsrđan complicationafterthereconstructionoftheoldpatellartendonrupture AT golijaninpetar complicationafterthereconstructionoftheoldpatellartendonrupture AT milankovvukadin complicationafterthereconstructionoftheoldpatellartendonrupture |