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. 2015:2015:391295.
doi: 10.1155/2015/391295. Epub 2015 Jan 6.

Direct Repair without Augmentation of Patellar Tendon Avulsion following TKA

Ravi Mittal  1 , Nishikant Kumar  2 , Chandrashekhar Yadav  1 , Ashok Kumar  1
Affiliations

Direct Repair without Augmentation of Patellar Tendon Avulsion following TKA

Ravi Mittal et al. Case Rep Orthop. 2015.

Abstract

Complications involving the extensor mechanism after TKA are potentially disastrous. We are reporting a case of patellar tendon rupture from tibial tuberosity following total knee arthroplasty. We managed it by direct repair with fiberwire using Krackow suture technique without augmentation. Our long term result has been very encouraging. Our method is a safe and better method of management of patellar tendon avulsion following TKA when it happens without any tissue loss.

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Figures

Figure 1
Figure 1
Showing patellar tendon avulsion from distal end with TKA implant in situ.
Figure 2
Figure 2
Showing fibre mesh wire placed across patellar tendon (Krackow method).
Figure 3
Figure 3
Showing fibre wire suture placed across both ends of patellar tendon.
Figure 4
Figure 4
Showing drill being made below tibial tuberosity.
Figure 5
Figure 5
Showing sutures being passed through tunnel and tied.
Figure 6
Figure 6
Showing repair being supplemented with staple.
See this image and copyright information in PMC

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