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Gestione delle complicanze dell’apparato estensore nella chirurgia protesica di ginocchio

Management of knee extensor mechanism lesions in total knee arthroplasty

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LO SCALPELLO-OTODI Educational

Abstract

The management of the patella and knee extensor mechanism failure are serious problems when performing a revision of a total knee arthroplasty. Extensor mechanism failure prevalence is not trascurable, it is more commonly observed as first implant surgery complication and also as a chronic pathology with the patellar tendon often involved. In revision surgery, to replace patella is not difficult if native, then replaced patella can be left in aseptic revision or can be changed in two stage operation; problems in this case depend on residue bone stock. Knee extensor mechanism reconstruction can be performed using allogenic either or synthetic grafts. In this work, we list problems and solutions that can arise in the management of patella and when extensor mechanism lesion is diagnosticated.

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Authors and Affiliations

  1. Clinica Ortopedica e Traumatologica, Città della Salute e della Scienza di Torino Ospedale CTO, Torino, Italia

    L. Sabatini, A. Bistolfi, S. Cambursano, G. Parisi, F. Galetto & A. Massè

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  1. L. Sabatini
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  2. A. Bistolfi
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  3. S. Cambursano
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  4. G. Parisi
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  5. F. Galetto
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  6. A. Massè
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Correspondence to L. Sabatini.

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Gli autori L. Sabatini, A. Bistolfi, S. Cambursano, G. Parisi, F. Galetto e A. Massè dichiarano di non avere alcun conflitto di interesse.

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Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

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Sabatini, L., Bistolfi, A., Cambursano, S. et al. Gestione delle complicanze dell’apparato estensore nella chirurgia protesica di ginocchio. LO SCALPELLO 31, 173–178 (2017). https://doi.org/10.1007/s11639-017-0212-1

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  • DOI: https://doi.org/10.1007/s11639-017-0212-1

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