UMMS Affiliation
Department of Orthopedics and Physical Rehabilitation, Division of Sports Medicine
Publication Date
2019-10-16
Document Type
Article
Disciplines
Musculoskeletal Diseases | Orthopedics | Sports Medicine | Surgical Procedures, Operative
Abstract
Patellar tendon rupture after bone–patellar tendon–bone (BTB) anterior cruciate ligament (ACL) reconstruction is a rare but known complication. Other complications that are more common include anterior knee pain, pain with kneeling, and peri-incisional numbness. When the extensor mechanism fails after a BTB harvest, it is more commonly in the form of a patellar fracture. The rate of patellar tendon rupture has been reported to be about 0.25%, while patellar fractures are seen at a rate of 1.3%.1,7,18 Patellar tendon rupture can occur either in the early postoperative period, usually attributed to slip and fall–type injuries, or as a late manifestation by forced eccentric contraction in a flexed knee.4,6,8,9 A variety of reconstruction options have been reported in the literature.2,7,10 Much of the traditionally described patellar tendon repair techniques are difficult to apply to a harvested tendon because of the defect within the patella and tendon as well as the different patterns of rupture encountered in harvested tendons. Combined with the risk of patellar fracture after BTB ACL reconstruction, the decision to make additional drill holes through the bone before the defect has filled is met with hesitation.11
Keywords
BTB, complication, hamstring, knee
Rights and Permissions
Copyright © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
DOI of Published Version
10.1177/2325967119877802
Source
Orthop J Sports Med. 2019 Oct 16;7(10):2325967119877802. doi: 10.1177/2325967119877802. eCollection 2019 Oct. Link to article on publisher's site
Journal/Book/Conference Title
Orthopaedic journal of sports medicine
Related Resources
PubMed ID
31663009
Repository Citation
Haskoor JP, Busconi BD. (2019). Patellar Tendon Reconstruction Using Semitendinosus Autograft With Preserved Distal Insertion for Treatment of Patellar Tendon Rupture After Bone-Patellar Tendon-Bone ACL Reconstruction: A Case Report. Open Access Articles. https://doi.org/10.1177/2325967119877802. Retrieved from https://escholarship.umassmed.edu/oapubs/4026
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Musculoskeletal Diseases Commons, Orthopedics Commons, Sports Medicine Commons, Surgical Procedures, Operative Commons