Secondary reconstruction of the extensor mechanism using part of the quadriceps tendon, patellar retinaculum, and Gore-Tex strips after proximal tibial resection.
Competence of the extensor mechanism is the major determinant of functional outcome of patients after proximal tibia resection. A method of secondary reconstruction of the extensor mechanism using the middle third of the quadriceps tendon and the patellar retinaculum augmented with Gore-Tex strips and gastrocnemius flap is described. Between 1981 and 1997, 7 patients with extension lag greater than 20 degrees at least 1 year after the initial surgery underwent secondary reconstruction of the extensor mechanism. All patients were followed up for a minimum of 2 years. Full extension to an extension lag of 10 degrees was achieved in three patients, and an extension lag between 10 degrees and 20 degrees was achieved in 4 patients. All patients had good to excellent functional outcomes and reported no limitations in daily life activities.
Kollender
Yehuda
Y
National Unit of Orthopedic Oncology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Bender
Benjamin
B
Weinbroum
Avi A
AA
Nirkin
Alexander
A
Meller
Isaac
I
Bickels
Jacob
J
D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D010329:Patella / Q000601:surgery*; D017847:Patellar Ligament / Q000601:surgery*; D011138:Polytetrafluoroethylene; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013710:Tendons / Q000601:surgery*; D013977:Tibia
D011138:Polytetrafluoroethylene