Reconstructing Quadriceps Tendon Disruptions in Post Total Knee Arthroplasty Patients with an Autogenous Peroneal Tendon Graft: A Viable Alternative

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2024-08-28 DOI:10.1007/s43465-024-01247-8

Rajeev K. Sharma, Udit Vinayak, Jitendra Wadhwani, Sanika Rapole

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引用次数: 0

Abstract

Purpose

Quadriceps tendon disruption post-total knee arthroplasty (TKA) is rare. Existing reconstruction procedures use allografts or synthetic meshes with varied success. This study evaluates outcomes with autogenous peroneal tendon grafts, a cost-effective alternative, compared to synthetic polypropylene mesh for quadriceps reconstruction.

Methods

16 patients who underwent extensor mechanism reconstruction between 2017 and 2021were retrospectively analysed. Parameters evaluated included type of reconstruction, extensor lag, IKDC (International Knee Documentation Committee) Score and AOFAS-Hindfoot-score (American Orthopaedic Foot and Ankle Society).

Results

At final follow-up, extensor lag for peroneal autograft group was 6.6° ± 1.5 and for synthetic polypropylene mesh group, 7.2° ± 0.7. Both groups improved in IKDC score (p < 0.01) AOFAS-Hindfoot-score was comparable for peroneal autograft patients with opposite side (p = 0.15).

Conclusions

Autogenous peroneal tendon graft for quadriceps reconstruction could be viable, cost-effective alternative to allografts or synthetic meshes, with good clinical outcomes.

Graphical Abstract

Graphical abstract depicting the harvesting of the peronei grafts and their passage through the quadriceps tendon. Sonographic image showing the preoperative presence of a gap in the quadriceps tendon which is reconstructed post-operatively

Abstract Image

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用自体腓肠肌肌腱移植重建全膝关节置换术后患者的股四头肌肌腱损伤：可行的替代方案

目的全膝关节置换术（TKA）后肱四头肌腱断裂非常罕见。现有的重建手术使用同种异体移植物或合成网，但效果不一。本研究评估了自体腓肠肌肌腱移植（一种具有成本效益的替代方法）与合成聚丙烯网片在股四头肌重建中的效果比较。方法回顾性分析了在 2017 年至 2021 年期间接受伸肌机制重建的 16 例患者。评估参数包括重建类型、伸肌滞后、IKDC（国际膝关节文献委员会）评分和AOFAS-后足评分（美国骨科足踝协会）。结果最终随访时，腓肠肌自体移植组的伸肌滞后为6.6°±1.5，合成聚丙烯网片组为7.2°±0.7。两组患者的 IKDC 评分均有所提高（p < 0.01），腓肠肌自体移植物患者的 AOFAS 后足评分与对侧相当（p = 0.15）。结论自体腓肠肌肌腱移植物用于股四头肌重建是可行的，具有成本效益，可替代同种异体移植物或合成网片，临床效果良好。声像图显示术前股四头肌肌腱存在缝隙，术后进行了重建

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.