Disturbance of Extensor Mechanism after Primary and Revision Knee Arthroplasty



Cite item

Full Text

Abstract

Rate of extensor mechanism complications after primary and revision knee arthroplasty reaches 12 %. Description and systematization of such complications by literature data is given. Our experience in treatment of 12 patients with such complications after primary knee and in 5 patients after revision knee arthroplasty that made up 1.0 and 13.9% of all interventions, respectively, is presented. Registered complications include para-patellar scars and ossification impingement (4), patellar lateralization (5), patellar dislocation (1), patellar tendon rupture (7). Treatment results in patients after primary arthroplasty are better than after revision intervention - 83.3 and 40% of positive results, respectively. It is shown that high rate (42.9%) of patellar tendon rupture are associated with deep periprosthetic infection. Besides, autoplasty with m. gracilis and m. semitendinosus shows its inefficiency in treatment of such complications.

About the authors

G. M Kavalerskiy

I.M. Sechenov First Moscow State Medical University

V. Yu Murylyov

I.M. Sechenov First Moscow State Medical University

M. Yu Kholodaev

City Clinical Hospital named after S.P. Botkin, Moscow, Russia

Ya. A Rukin

I.M. Sechenov First Moscow State Medical University

Email: yarbarmaley@gmail.com

P. M Elizarov

I.M. Sechenov First Moscow State Medical University

G. G Rubin

City Clinical Hospital named after S.P. Botkin, Moscow, Russia

References

  1. Robertsson O., Bizjajeva S., Fenstad A.M., Furnes O., Lidgren L., Mehnert F. et al. Knee arthroplasty in Denmark, Norway and Sweden. A pilot study from the Nordic Arthroplasty Register Association. Acta Orthop. 2010; 81 (1): 82-9.
  2. Parker D.A., Dunbar M.J., Rorabeck C.H. Extensor mechanism failure associated with total knee arthroplasty: prevention and management. J. Am. Acad. Orthop. Surg. 2003; 11 (4): 238-47.
  3. Sharkey P.F., Hozack W.J., Rothman R.H., Shastri S., Jacoby S.M. Insall Award paper. Why are total knee arthroplasties failing today? Clin. Orthop. Relat. Res. 2002; 404: 7-13.
  4. Pawar U., Rao K.N., Sundaram P.S., Thilak J., Varghese J. Scintigraphic assessment of patellar viability in total knee arthroplasty after lateral release. J. Arthroplasty. 2009; 24 (4): 636-40.
  5. Figgie H.E. 3rd, Goldberg V.M., Figgie M.P., Inglis A.E., Kelly M., Sobel M. The effect of alignment of the implant on fractures of the patella after condylar total knee arthroplasty. J. Bone Joint Surg. Am. 1989; 71 (7): 1031-9.
  6. Berger R.A., Crossett L.S., Jacobs J.J., Rubash H.E. Malrotation causing patellofemoral complications after total knee arthroplasty. Clin. Orthop. Relat. Res. 1998; 356: 144-53.
  7. Кавалерский Г.М., Мурылев В.Ю., Елизаров П.М., Жучков А.Г., Рукин Я.А. Оценка ближайших результатов тотального эндопротезирования коленного сустава с применением компьютерной навигации. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2009; 1: 29-33.
  8. Кавалерский Г.М., Мурылев В.Ю., Рукин Я.А., Лычагин А.В., Елизаров П.М. Возможности компьютерной навигации при первичном тотальном эндопротезировании коленного сустава. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2012; 4: 27-31.
  9. Bourne R.B. Fractures of the patella after total knee replacement. Orthop. Clin. North Am. 1999; 30 (2): 287-91.
  10. Lynch A.F., Rorabeck C.H., Bourne R.B. Extensor mechanism complications following total knee arthroplasty. J. Arthroplasty. 1987; 2 (2): 135-40.
  11. Mont M.A., Yoon T.R., Krackow K.A., Hungerford D.S. Eliminating patellofemoral complications in total knee arthroplasty: clinical and radiographic results of 121 consecutive cases using the Duracon system. J. Arthroplasty. 1999; 14 (4): 446-55.
  12. Jarvela T., Halonen P., Jarvela K., Moilanen T. Reconstruction of ruptured patellar tendon after total knee arthroplasty: a case report and a description of an alternative fixation method. Knee. 2005; 12 (2): 139-43.
  13. Brown J.A., Hanssen A.D. Reconstruction of patellar tendon disruption after total knee arthroplasty: results of a new technique utilizing synthetic mesh. J. Bone Joint Surg. Am. 2011; 93 (12): 1137-43.
  14. Eisenhuth S.A., Saleh K.J., Cui Q., Clark C.R., Brown T.E. Patellofemoral instability after total knee arthroplasty. Clin Orthop Relat Res. 2006; 446: 149-60.
  15. Merkow R.L., Soudry M., Insall J.N. Patellar dislocation following total knee replacement. J. Bone Joint Surg. Am. 1985; 67 (9): 1321-7.
  16. Dobbs R.E., Hanssen A.D., Lewallen D.G., Pagnano M.W. Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes. J. Bone Joint Surg. Am. 2005; 87 (1): 37-45.
  17. Nam D., Abdel M.P., Cross M.B., LaMont L.E., Reinhardt K.R., McArthur B.A. et al. The management of extensor mechanism complications in total knee arthroplasty. J. Bone Joint Surg. Am. 2014; 96: e47.
  18. Hozack W.J., Goll S.R., Lotke P.A., Rothman R.H., Booth R.E. Jr. The treatment of patellar fractures after total knee arthroplasty. Clin. Orthop. Relat. Res. 1988; 236: 123-7.
  19. Ortiguera C.J., Berry D.J. Patellar fracture after total knee arthroplasty. J. Bone Joint Surg. Am. 2002; 84 (4): 532-40.
  20. Chalidis B.E., Tsiridis E., Tragas A.A., Stavrou Z., Giannoudis P.V. Management of periprosthetic patellar fractures. A systematic review of literature. Injury. 2007; 38 (6): 714-24.
  21. Meding J.B., Fish M.D., Berend M.E., Ritter M.A., Keating E.M. Predicting patellar failure after total knee arthroplasty. Clin. Orthop. Relat. Res. 2008; 466 (11): 2769-74

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-76249 от 19.07.2019.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies