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Characteristics of multi-ligament knee injuries accompanied with patellar tendon disruption

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Patella tendon rupture with multi-ligament injury is a rare injury. We observed patients with patella tendon rupture (or patella inferior pole fracture) with multi-ligament injury. This study intends to inspect the mechanism of the injury and classify them.

Methods

This is a case series involving patients from two hospitals. Twelve patients who had patella tendon rupture (PTR) with multi-ligament injury were studied.

Results

The incidence of multi-ligament injury in patella tendon rupture patients found to be 13% in retrospective search. Two types of injury were observed. First type is relatively low energy injury involving ACL and patella tendon which does not involve rupture of PCL. Second type is high energy injury involving PCL and patella tendon. Treatment differed among the patients, due to severity of trauma. Two-staged operation was the basis of treatment. Patella tendon was repaired in first stage. Reconstruction of ligaments was done in second stage. The patients who had infection or stiffness did not have a second surgery.

Conclusion

Patella tendon rupture with multi-ligament injury can be classified into low energy rotational injury and high energy dashboard injury. Two-staged surgery is the basis of treatment.

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Data availability

The datasets supporting the conclusions of this article are included within the article.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Chunbo-Ro 271, Uijeongbu, Gyeonggi-Do, Republic of Korea

    You Seung Chun & Seok Jung Kim

  2. Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    Seok Jung Kim & Se-Won Lee

  3. Department of Orthopedic Surgery, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 10, 63-Ro, Yeongdeungpo-Gu, Seoul, 07345, Republic of Korea

    Se-Won Lee

Authors
  1. You Seung Chun
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Correspondence to Se-Won Lee.

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Ethical review committee statement

This study was conducted in compliance with the institutional review board regulations (IRB), informed consent regulations, and the Declaration of Helsinki. (IRB approval number: UC21RISI0142, SC21RISI0184).

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Chun, Y.S., Kim, S.J. & Lee, SW. Characteristics of multi-ligament knee injuries accompanied with patellar tendon disruption. Eur J Trauma Emerg Surg 49, 1821–1826 (2023). https://doi.org/10.1007/s00068-023-02243-7

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  • DOI: https://doi.org/10.1007/s00068-023-02243-7

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