Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation
The management of chronic extensor mechanism injuries represents a significant challenge for orthopaedic surgeons, with numerous options for graft choice and fixation construct, but no clear consensus on which technique achieves optimal outcomes. Although there is little published data regarding out...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628723002517 |
| _version_ | 1797378718574837760 |
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| author | Ryan T. Halvorson, M.D. Marcus Dilallo, M.D. Edgar Garcia-Lopez, M.D. Nicholas Colyvas, M.D. Stephanie E. Wong, M.D. |
| author_facet | Ryan T. Halvorson, M.D. Marcus Dilallo, M.D. Edgar Garcia-Lopez, M.D. Nicholas Colyvas, M.D. Stephanie E. Wong, M.D. |
| author_sort | Ryan T. Halvorson, M.D. |
| collection | DOAJ |
| description | The management of chronic extensor mechanism injuries represents a significant challenge for orthopaedic surgeons, with numerous options for graft choice and fixation construct, but no clear consensus on which technique achieves optimal outcomes. Although there is little published data regarding outcomes of different fixation methods, small case series have demonstrated modest success using Achilles tendon bone block allografts and transverse patellar screw fixation. In this technical note, we describe a surgical technique for the treatment of a chronic inferior pole patella fracture, with extensor mechanism reconstruction using an Achilles tendon allograft with suture tape augmentation. Our technique describes the use of vertical cannulated screws in the patella for passing tape augmentation sutures, increased construct security by suturing of the Achilles graft directly to the quadriceps tendon, and the use of a post screw in the proximal tibia for suture tape augmentation. |
| first_indexed | 2024-03-08T20:10:45Z |
| format | Article |
| id | doaj.art-08ddd81d65b442f9ad846994d36de79d |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-03-08T20:10:45Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-08ddd81d65b442f9ad846994d36de79d2023-12-23T05:20:40ZengElsevierArthroscopy Techniques2212-62872023-12-011212e2295e2302Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape AugmentationRyan T. Halvorson, M.D.0Marcus Dilallo, M.D.1Edgar Garcia-Lopez, M.D.2Nicholas Colyvas, M.D.3Stephanie E. Wong, M.D.4Department of Orthopaedic Surgery, University of California, San Francisco, CaliforniaDepartment of Orthopaedic Surgery, University of California, San Francisco, CaliforniaDepartment of Orthopaedic Surgery, University of California, San Francisco, CaliforniaDepartment of Orthopaedic Surgery, University of California, San Francisco, CaliforniaAddress correspondence to Stephanie E. Wong, M.D., University of California, San Francisco, 1500 Owens St., Suite 170, San Francisco, CA, 94158, U.S.A.; Department of Orthopaedic Surgery, University of California, San Francisco, CaliforniaThe management of chronic extensor mechanism injuries represents a significant challenge for orthopaedic surgeons, with numerous options for graft choice and fixation construct, but no clear consensus on which technique achieves optimal outcomes. Although there is little published data regarding outcomes of different fixation methods, small case series have demonstrated modest success using Achilles tendon bone block allografts and transverse patellar screw fixation. In this technical note, we describe a surgical technique for the treatment of a chronic inferior pole patella fracture, with extensor mechanism reconstruction using an Achilles tendon allograft with suture tape augmentation. Our technique describes the use of vertical cannulated screws in the patella for passing tape augmentation sutures, increased construct security by suturing of the Achilles graft directly to the quadriceps tendon, and the use of a post screw in the proximal tibia for suture tape augmentation.http://www.sciencedirect.com/science/article/pii/S2212628723002517 |
| spellingShingle | Ryan T. Halvorson, M.D. Marcus Dilallo, M.D. Edgar Garcia-Lopez, M.D. Nicholas Colyvas, M.D. Stephanie E. Wong, M.D. Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation Arthroscopy Techniques |
| title | Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation |
| title_full | Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation |
| title_fullStr | Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation |
| title_full_unstemmed | Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation |
| title_short | Extensor Mechanism Reconstruction Using Achilles Tendon Allograft With Suture Tape Augmentation |
| title_sort | extensor mechanism reconstruction using achilles tendon allograft with suture tape augmentation |
| url | http://www.sciencedirect.com/science/article/pii/S2212628723002517 |
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