Extensor Mechanism Failure in Total Knee Arthroplasty

Overview

Journal EFORT Open Rev

Specialty Orthopedics

Date 2021 Apr 12

PMID 33841917

Citations 6

Authors

Jimmy Ng

Pau Balcells-Nolla

Peter J James

Benjamin V Bloch

Affiliations

Soon will be listed here.

Abstract

Extensor mechanism failure in total knee arthroplasty (TKA) can present as quadriceps tendon rupture, patella fracture or patella tendon rupture.Component malrotation, excessive joint line elevation and previous lateral release are some of the risk factors contributing to extensor mechanism failure in TKA.Partial quadriceps tendon rupture and undisplaced patella fracture with intact extensor mechanism function can be treated conservatively.Extensor mechanism failure in TKA with disruption of the extensor mechanism function should be treated operatively as it is associated with poor function and extensor lag.It is recommended that acute repair of patella or quadriceps tendon rupture are augmented due to the high risk of re-rupture.Chronic ruptures of the extensor mechanism must be reconstructed as repair has a high failure rate. Reconstruction can be performed using autograft, allograft or synthetic graft. Cite this article: 2021;6:181-188. DOI: 10.1302/2058-5241.6.200119.

Citing Articles

Complications following total knee arthroplasty in patients with prior extensor mechanism dysfunction: A retrospective review.

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Patella Fracture After Total Knee Arthroplasty: A Review.

Tsivelekas K, Pallis D, Lykos S, Triantafyllou E, Nikolakakos P, Tilentzoglou A Cureus. 2024; 16(1):e53281.

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Periprosthetic patella fractures in total knee replacement and revision surgeries: how to diagnose and treat this rare but potentially devastating complication-a review of the current literature.

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Management of Bilateral Quadriceps Tendon Ruptures Post Total Knee Arthroplasty by Kesler Technique Using Fiber Tape.

AlShaafi W, Alqahtani M, Assiri A, Alqhtani A, Tedla J, Motlag D Healthcare (Basel). 2023; 11(5).

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Satisfactory outcomes of patellar tendon reconstruction using achilles' tendon allograft with bone block after infected total knee arthroplasty.

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