Langenbecks Archiv für Chirurgie

, Volume 378, Issue 6, pp 339–340 | Cite as

Ligamentum patellae-Ruptur — eine Spätkomplikation nach Entnahme eines Knochen-Sehnen-Knochen-Transplantats als Kreuzbandersatz?

  • E. Wallenböck
Originalarbeiten

Zusammenfassung

Rupturen des Ligamentum patellae sind bei totalem Kniegelenksersatz und bei der Operationsmethode nach Roux-Goldwilde bekannt. Rupturen des Ligamentum patellae nach Transplantatentnahme zum Kreuzbandersatz sind selten beschrieben. Wir führen seit dem Jahr 1990 den autologen Kreuzbandersatz mittels Ligamentum patellae aus dem medialen Anteil durch. In einem Fall ist es 10 Monate nach komplikationslosem postoperativen Verlauf und Kreuzbandplastik bei neuerlichem adäquaten Trauma zu einer Ruptur des Ligamentum patellae am tibialen Ansatz gekommen. Soweit wir die Literatur überblicken, dürfte die Problematik in der paraligamentären Blutversorgung liegen, wobei zusätzlich eine Teil- oder Komplettresektion des infrapatellären Fettkörpers zu einem zusätzlichen gefäßmäßigen Dauerschaden führen kann.

Rupture of the patellar ligament — a late sequela after removal of a bone-tendon-bone graft as cruciate ligament substitute?

Abstract

Ruptures of the patellar ligament have been observed in surgery for complete substitution of the knee joint and with application of the operation method according to Roux and Goldwilde; ruptures of this ligament after removal of a graft cruciate ligament substitution have been described very rarely. Since 1990 we have been practicing the method of autologous substitution of the cruciate ligament by using material from the median part of the patellar ligament. In one patient treated by this method who had displayed no complications during 10 months after the operation a new adequate trauma resulted in rupture of the patellar ligament at its tibial insertion. As far as we can assess on the basis of available technical literature, such injury might be due to problems of paraligamentary blood supply, partial or complete resection of the infrapatellar fatty tissue additionally contributing to lasting vascular damage.

Key words

Cruciate ligament substitution graft Complications Ligament 

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • E. Wallenböck
    • 1
  1. 1.Unfallkrankenhaus, GrazGraz

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