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Spontane Patellarsehnenruptur beim Ehlers-Danlos-Syndrom

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Zusammenfassung

Die operative Versorgung der Patellarsehnenruptur beim Ehlers-Danlos-Syndrom bedarf aufgrund der reduzierten mechanischen Belastungsfähigkeit des autologen Gewebes neben der End-zu-End-Naht der angefrischten Sehnenstümpfe und der temporären Stabilisierung mit einer McLaughlin-Cerclage der zusätzlichen alloplastischen Augmentation, z. B. mit einem Trevira-Band.

Abstract

The operative treatment of patellar tendon ruptures in patients with Ehlers-Danlos syndrome is complicated by the reduced mechanical properties of the tissue. These make it necessary to use, in addition to an end-to-end suture of the debrided tendon stumps and temporary stabilization by a McLaughlin cerclage, an additional augmentation, for example a Trevira band.

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Literatur

  1. Brinckmann J, Behrens P, Brenner R, Batge B, Tronnier M, Wolff HH (1999) Ehlers-Danlos syndrome. Hautarzt 50: 257–265

  2. Gosheger G, Hillmann A, Lindner N, Rodl R, Hoffmann C, Burger H, Winkelmann W (2001) Soft tissue reconstruction of megaprostheses using a trevira tube. Clin Orthop 2001: 264–271

  3. Kdolsky R, Reihsner R, Schabus R, Beer RJ (1994) Measurement of stress-strain relationship and stress relaxation in various synthetic ligaments. Knee Surg Sports Traumatol Arthrosc 2: 47–49

  4. Klinge U, Si ZY, Zheng H, Schumpelick V, Bhardwaj RS, Klosterhalfen B (2000) Abnormal collagen I to III distribution in the skin of patients with incisional hernia. Eur Surg Res 32: 43–48

  5. Larson RV, Simonian PT (1995) Semitendinosus augmentation of acute patellar tendon repair with immediate mobilization. Am J Sports Med 23: 82–86

  6. Lobenhoffer P, Thermann H (2000) Quadriceps and patellar tendon ruptures. Orthopade 29: 228–234

  7. Palvolgyi R, Balint BJ, Jozsa L (1979) The Ehlers-Danlos syndrome causing lacerations in tendons and muscles. Arch Orthop Trauma Surg 95: 173–176

  8. Seitz H, Marlovits S, Schwendenwein I, Muller E, Vecsei V (1998) Biocompatibility of polyethylene terephthalate (Trevira hochfest) augmentation device in repair of the anterior cruciate ligament. Biomaterials 19: 189–196

  9. Weinberg J, Doering C, McFarland EG (1999) Joint surgery in Ehlers-Danlos patients: results of a survey. Am J Orthop 28: 406–409

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Correspondence to G. Matziolis.

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Matziolis, G., Drahn, T. & Perka, C. Spontane Patellarsehnenruptur beim Ehlers-Danlos-Syndrom. Unfallchirurg 106, 1051–1053 (2003). https://doi.org/10.1007/s00113-003-0651-4

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  • DOI: https://doi.org/10.1007/s00113-003-0651-4

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