Anatomical reconstruction of the patellar tendon: a new technique with hamstring tendons and iliotibial tract.
A new technique of patellar tendon reconstruction was performed in a patient who lost tendon and tibial tuberosity during wide excision surgery for a malignancy. In this procedure, the tendon was anatomically replaced by a graft composed of ipsilateral hamstring tendons and iliotibial tract, with the biomechanical conditions considered. Both ends of the graft were secured in the size-matched bone tunnels in the patella and tibia by screw post fixation, which is a technique established in ligament reconstruction surgery in the knee joint. At the twenty-month follow-up, the result was deemed successful.
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Japan.
N
N
Fukui
N
N
Cho
T
T
Tashiro
K
K
Nakamura
D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000637:transplantation; D007719:Knee Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D010329:Patella / Q000473:pathology / Q000601:surgery; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D012509:Sarcoma / Q000175:diagnosis / Q000601:surgery; D013710:Tendons / Q000473:pathology / Q000601:surgery* / Q000637:transplantation; D013977:Tibia / Q000637:transplantation; D016378:Tissue Transplantation / Q000379:methods; D016896:Treatment Outcome