Traumatic Complete Loss of Knee Extensor Mechanism and Its Reconstruction With a Fresh-frozen Patellar Allograft With Patellar and Quadriceps Tendon.

Johannes Weber, Maximilian Kerschbaum, Silvan Klein, Florian Hitzenbichler, Markus Rupp, Volker Alt
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Abstract

We report on an 18-year-old female who sustained complete loss of her knee extensor mechanism (patella, quadriceps and patellar tendon) due to a motorbike injury with severe soft tissue loss of the ventral aspect of the knee and subsequent infection. After infection control and successful latissimus dorsi free flap surgery, reconstruction of the knee extensor mechanism was performed using a fresh frozen extensor mechanism allograft with patella, quadriceps- and patellar tendon and integrated tibia tuberosity fragment. After a follow-up of 18 months, there was infection free integration of the allograft with a range of motion 0-0-90° (extension/flexion) and pain free gait.

外伤性膝关节外展机制完全丧失及其与髌骨和股四头肌腱的鲜冻髌骨同种异体移植再造
我们报告了一名 18 岁女性的病例,她因骑摩托车受伤导致膝关节伸肌机制(髌骨、股四头肌和髌腱)完全丧失,膝关节腹侧软组织严重缺损,随后出现感染。在控制感染并成功实施背阔肌游离皮瓣手术后,使用新鲜冷冻伸肌机制同种异体移植物和髌骨、股四头肌、髌腱以及胫骨结节片进行了膝关节伸肌机制重建。经过 18 个月的随访,同种异体移植物无感染,活动范围为 0-0-90°(伸展/屈曲),步态无疼痛。
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