RSS-Feed abonnieren
DOI: 10.4103/ijps.IJPS_200_16
From wheelchair to walking: First case report of post-electrical burn destruction of patellar ligament with its one-stage reconstruction and restoration of function
Publikationsverlauf
Publikationsdatum:
05. Juli 2019 (online)
ABSTRACT
Electrical burn injury causing bilateral patellar ligament destruction leading to complete loss of knee extension is a very rare injury. In such situation, surgical repair or reconstruction of the patellar ligament becomes necessary to restore knee functions. Here, we present such a case of an 8-year-old boy, whose both patellar ligaments were destroyed throughout its length due to high-voltage electrical injury. His left knee joint cavity was exposed and grossly infected, but the right knee joint cavity was apparently intact. The right-sided patellar ligament was reconstructed with an ipsilateral and looped semitendinosus tendon graft and covered with a medial gastrocnemius musculocutaneous flap. The patient had an uneventful recovery, and full range of motion in the right knee joint along with good bipedal locomotion was achieved successfully.
-
REFERENCES
- 1 Amlang MH, Zwipp H. Damage to large tendons: Achilles, patellar and quadriceps tendons. Chirurg 2006; 77: 637-49
- 2 Naguib AM, Sefton GK. Recurrent bilateral rupture of the patellar tendons: Tendon replacement using polyester connective tissue prosthesis. Injury Extra 2006; 37: 379-82
- 3 Jablonski JJ, Jarmuziewicz P, Druzbicki M. Reconstruction of chronic patellar tendon rupture with semitendinosus tendon: Case report. Ortop Traumatol Rehabil 2011; 13: 607-15
- 4 Moretti L, Vicenti G, Abate A, Pesce V, Moretti B. Patellar tendon rerupture in a footballer: Our personal surgical technique and review of the literature. Injury 2014; 45: 452-6
- 5 McNally PD, Marcelli EA. Achilles allograft reconstruction of a chronic patellar tendon rupture. Arthroscopy 1998; 14: 340-4
- 6 Milankov MZ, Miljkovic N, Stankovic M. Reconstruction of chronic patellar tendon rupture with contralateral BTB autograft: A case report. Knee Surg Sports Traumatol Arthrosc 2007; 15: 1445-8
- 7 Van der Bracht H, Verdonk R, Stuyts B. Augmentation of a patellar tendon repair with an autologous semitendinosus graft. Acta Orthop Belg 2009; 75: 417-9
- 8 Van der Zwaal P, van Arkel E. Recurrent patellar tendon rupture: Reconstruction using ipsilateral gracilis and semitendinosus tendon autografts. Injury Extra 2007; 38: 320-3
- 9 Nguene-Nyemb AG, Huten D, Ropars M. Chronic patellar tendon rupture reconstruction with a semitendinosus autograft. Orthop Traumatol Surg Res 2011; 97: 447-50