Treatment of chronic patellar ligament lesion with autograft and v-y quadricepsplasty

Revista Brasileira de Ortopedia

Marco Túlio Lopes Caldas¹  Tiago Jacques Gonçalves¹  Gustavo Henrique Silva Bárbara¹  Rafael Alves Rodrigues¹  Victor Rocha Figueiredo¹  Jaider Parreiras De Paulo¹ 

关键词: Knee/therapy;    Knee/surgery;    Patellar ligament;    Joelho/terapia;    Joelho/cirurgia;    Ligamento patelar;   

DOI  :  10.1016/j.rbo.2012.08.002

来源: SciELO

【 摘 要 】

OBJECTIVE:Review of the literature concerning the subject and to compare the results of the technique we have been using with the ones reported on the literature.METHODS:This is a retrospective, cross-sectional and observational study. We evaluated the records of patients treated surgically at the Hospital from Hospital Maria Amelia Lins January 1997 to January 2011.The following variables were considered: age, gender, side, degree of injury, mechanism of trauma, associated injuries, time elapsed between injury and surgical procedure, complications, range of motion and muscle strength.RESULTS:Five patients underwent surgical treatment with the use of autograft semitendinosus and gracilis tendons and V-Y quadricepsplasty. Regarding gender, there was a male predominance (80%). The average age was 35.2 years old. The right side was the most affected (60%). The predominant mechanism of injury was motorcycle accident (80%). All patients had a complete tendon lesion. Time between injury and surgery averaged 10.4 months. Four patients (80%) had had associated injuries. In all patients muscle strength was satisfactory (M4/M5). Wound dehiscence was observed in 01 patient. Average postoperative range of motion was 110°.CONCLUSIONS:These are rare lesions. Stretching the quadriceps is essential to decrease the tension to the reconstructed patellar ligament and patellofemoral joint. Use of a quadriceps transtendon tunnel is an option to prevent fractures. Hypotrophy of the quadriceps is inevitable, however, the resulting force is sufficient for daily living activities.

【 授权许可】

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