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Simultaneous reconstruction of quadriceps tendon rupture after TKA and neglected Achilles tendon rupture.

Authors
Lee, YS; Min, BH; Han, KJ; Cho, JH; Han, SH; Lee, DH; Oh, KS
Citation
Orthopedics, 33(5):355-355, 2010
Journal Title
Orthopedics
ISSN
0147-74471938-2367
Abstract
We report a case of simultaneous reconstruction of a quadriceps tendon rupture after total knee arthroplasty (TKA) and neglected Achilles tendon rupture, which occurred before TKA with an ipsilateral hamstring autograft. A 64-year-old woman presented with persistent right knee pain. She also had right heel pain and had received multiple steroid injections at the knee joint and heel. On examination, she showed osteoarthritis in the medial and lateral compartments of the knee joint and an Achilles tendon rupture in the ipsilateral limb. There was skin dimpling and the proximal portion of tendon was migrated. We performed TKA, and the postoperative course was satisfactory. She returned 3 months postoperatively, however, with skin dimpling around the suprapatellar area and weakness of knee extension. Her ankle symptoms were also aggravated because she could not use the knee joint freely. We performed simultaneous reconstruction of the quadriceps tendon and the Achilles tendon using an ipsilateral hamstring autograft.Hamstring autograft offers a good alternative treatment option for rupture repair, particularly with concommitant ruptures of multiple sites when primary repair is not possible or the viability of repaired tissue is poor.
MeSH terms
Achilles Tendon/injuries*Achilles Tendon/surgeryArthroplasty, Replacement, Knee*FemaleHumansMiddle AgedMuscle, Skeletal/transplantationPostoperative Complications/surgery*Quadriceps Muscle*Tendon Injuries/surgery*
DOI
10.3928/01477447-20100329-31
PMID
20506939
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Orthopedic Surgery
AJOU Authors
이, 용석민, 병현한, 경진조, 재호한, 승환이, 두형오, 경수
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