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Intra-operative patellar fracture during chronic patellar tendon rupture reconstruction: salvage and prophylactic modified techniques

  • Technical Note • KNEE - TRAUMA
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Management of chronic neglected patellar tendon rupture represents a challenging condition for the orthopedic surgeons to deal with due to many factors such as quadriceps muscle atrophy, superior migration of the patella, e.g., patella alta, peri-patellar adhesions and patellar tendon atrophy. Such difficulties might be further complicated by intra-operative patellar fracture during patellar tendon reconstruction. In the current article, the authors report (1) a salvage procedure for such devastating intra-operative complication, based on bypassing the patella and gaining the advantage of the quadriceps tendon for structural and functional restoration of the knee extensor mechanism, and (2) prophylactically a technical modification of patellar tendon reconstruction guarding against such inadvertent patellar fracture.

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Acknowledgements

A special acknowledgement is dedicated to Solyman Hassan, Assistant Lecturer, Orthopedics and Traumatology, Faculty of Medicine, Menoufia University, Egypt, for his contribution to preoperative preparation, operative procedure and postoperative follow-up of this work.

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Authors and Affiliations

  1. Faculty of Medicine, Menoufia University, Shebeen El-Kom, Egypt

    Amr Abdel-Mordy Ali Kandeel, Adel Ibraheem El-Saeady & Taher Abdel-Sattar Eid

Authors
  1. Amr Abdel-Mordy Ali Kandeel
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  2. Adel Ibraheem El-Saeady
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  3. Taher Abdel-Sattar Eid
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Contributions

All authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content and (3) final approval of the version to be submitted.

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Correspondence to Amr Abdel-Mordy Ali Kandeel.

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The authors, their immediate family, and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.

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Kandeel, A.AM.A., El-Saeady, A.I. & Eid, T.AS. Intra-operative patellar fracture during chronic patellar tendon rupture reconstruction: salvage and prophylactic modified techniques. Eur J Orthop Surg Traumatol 29, 1549–1557 (2019). https://doi.org/10.1007/s00590-019-02459-7

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  • DOI: https://doi.org/10.1007/s00590-019-02459-7

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