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Des ruptures de l'appareil extenseur du genou

Rupture of the extensor apparatus of the knee

A propos de 45 cas

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Summary

The authors describe 45 cases of rupture of the extensor apparatus of the knee (excluding fracture of the patella).

Some new ideas are put forward concerning the frequent cause by road accidents and the contribution of certain predisposing features which cause degenerative changes of the tendon.

Operation was performed in all cases. The extensor apparatus was reconstructed by suture, cerclage or reinsertion, together with the use of procedures described by Mac Laughlin and Scuderi.

The results are presented in detail. 90% are very good or good but complications during operation or in the post operative phase were frequent and occurred in 27% of the cases.

Résumé

A l'occasion de 45 cas de rupture de l'appareil extenseur du genou (fracture de la rotule exceptée), les auteurs reprennent la description de cette lésion.

Ils insistent sur un certain nombre de notions nouvelles: fréquence des accidents de la voie publique, importance des causes prédisposantes qui réalisent une altération dégénérative des tendons.

Tous les cas ont été traités chirurgicalement, l'appareil extenseur ayant été reconstitué par suture, cerclage ou réinsertion, en s'aidant éventuellement des artifices décrits par Mac Laughlin et Scuderi.

Les résultats, étudiés avec un important recul, sont présentés en détail. Ils sont bons ou très bons dans 90% des cas, mais les complications per-ou post-opératoires sont assez fréquentes (27%).

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Authors and Affiliations

  1. Clinique de Traumatologie et d'Orthopédie, 49, rue Hermite, F-54000, Nancy, France

    J. Sommelet, A. Fery & G. Grosdidier

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  1. J. Sommelet
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  2. A. Fery
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  3. G. Grosdidier
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Sommelet, J., Fery, A. & Grosdidier, G. Des ruptures de l'appareil extenseur du genou. International Orthopaedics 3, 27–36 (1979). https://doi.org/10.1007/BF00266323

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