extensor mechanism ruptures

Native patellar tendon injuries are seen in younger patients compared to quadriceps tendon ruptures. Up to a third of the patients may have local (antecedent tendinopathy and cortisone injections) or systemic risk factors (obesity, diabetes, hyperparathyroidism, chronic renal failure, fluoroquinolon...

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Autores: Tandogan, Reha N., Terzi, Esref, Gómez Barrena, Enrique, Violante, Bruno, Kayaalp, Asim
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/714091
Acceso en línea:http://hdl.handle.net/10486/714091
https://dx.doi.org/10.1530/EOR-22-0021
Access Level:acceso abierto
Palabra clave:Knee extensor mechanism
patellar tendon rupture
quadriceps tendon rupture
total knee arthroplasty
Medicina
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spelling extensor mechanism rupturesTandogan, Reha N.Terzi, EsrefGómez Barrena, EnriqueViolante, BrunoKayaalp, AsimKnee extensor mechanismpatellar tendon rupturequadriceps tendon rupturetotal knee arthroplastyMedicinaNative patellar tendon injuries are seen in younger patients compared to quadriceps tendon ruptures. Up to a third of the patients may have local (antecedent tendinopathy and cortisone injections) or systemic risk factors (obesity, diabetes, hyperparathyroidism, chronic renal failure, fluoroquinolone or statin use) of injury, these are more frequent in bilateral disruptions. Complete extensor mechanism disruptions should be repaired surgically. Although isolated primary repair has been reported to have good outcomes in younger patients with acute tears and good tendon quality, augmentation of the repair with autograft, allograft or synthetic material should be considered in patients with poor tendon quality, chronic tears or tendon defects. High rates of return to work/sports have been reported in native patellar and quadriceps tendon tears, with re-rupture rates <5%. Extensor mechanism disruptions in patients with a total knee arthroplasty are challenging due to older age, systemic co-morbidities and poor local conditions, resulting in inferior outcomes compared to native extensor mechanism injuries. Some form of augmentation with autograft, allograft or synthetics is advisable in all cases. Salvage procedures such as whole extensor mechanism allografts provide acceptable outcomes in multiply operated knees with extensive bone and soft tissue deficitsBioScientificaFacultad de Medicina20222022-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AOhttp://purl.org/coar/version/c_b1a7d7d4d402bcceinfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/714091https://dx.doi.org/10.1530/EOR-22-0021reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7140912026-06-23T12:46:27Z
dc.title.none.fl_str_mv extensor mechanism ruptures
title extensor mechanism ruptures
spellingShingle extensor mechanism ruptures
Tandogan, Reha N.
Knee extensor mechanism
patellar tendon rupture
quadriceps tendon rupture
total knee arthroplasty
Medicina
title_short extensor mechanism ruptures
title_full extensor mechanism ruptures
title_fullStr extensor mechanism ruptures
title_full_unstemmed extensor mechanism ruptures
title_sort extensor mechanism ruptures
dc.creator.none.fl_str_mv Tandogan, Reha N.
Terzi, Esref
Gómez Barrena, Enrique
Violante, Bruno
Kayaalp, Asim
author Tandogan, Reha N.
author_facet Tandogan, Reha N.
Terzi, Esref
Gómez Barrena, Enrique
Violante, Bruno
Kayaalp, Asim
author_role author
author2 Terzi, Esref
Gómez Barrena, Enrique
Violante, Bruno
Kayaalp, Asim
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Facultad de Medicina
dc.subject.none.fl_str_mv Knee extensor mechanism
patellar tendon rupture
quadriceps tendon rupture
total knee arthroplasty
Medicina
topic Knee extensor mechanism
patellar tendon rupture
quadriceps tendon rupture
total knee arthroplasty
Medicina
description Native patellar tendon injuries are seen in younger patients compared to quadriceps tendon ruptures. Up to a third of the patients may have local (antecedent tendinopathy and cortisone injections) or systemic risk factors (obesity, diabetes, hyperparathyroidism, chronic renal failure, fluoroquinolone or statin use) of injury, these are more frequent in bilateral disruptions. Complete extensor mechanism disruptions should be repaired surgically. Although isolated primary repair has been reported to have good outcomes in younger patients with acute tears and good tendon quality, augmentation of the repair with autograft, allograft or synthetic material should be considered in patients with poor tendon quality, chronic tears or tendon defects. High rates of return to work/sports have been reported in native patellar and quadriceps tendon tears, with re-rupture rates <5%. Extensor mechanism disruptions in patients with a total knee arthroplasty are challenging due to older age, systemic co-morbidities and poor local conditions, resulting in inferior outcomes compared to native extensor mechanism injuries. Some form of augmentation with autograft, allograft or synthetics is advisable in all cases. Salvage procedures such as whole extensor mechanism allografts provide acceptable outcomes in multiply operated knees with extensive bone and soft tissue deficits
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AO
http://purl.org/coar/version/c_b1a7d7d4d402bcce
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/714091
https://dx.doi.org/10.1530/EOR-22-0021
url http://hdl.handle.net/10486/714091
https://dx.doi.org/10.1530/EOR-22-0021
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioScientifica
publisher.none.fl_str_mv BioScientifica
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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