Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases
Patellar Tendon (PT) rupture is an uncommon injury of the knee extensors. Majority of the PT ruptures occur at the insertion site, on the inferior pole of the patella as an avulsion injury, mostly in males of <40 years of age and involving sports persons or accidental cases. A case series of 10 c...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Pvt. Ltd.
2023-07-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
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| Online Access: | https://www.ijars.net/articles/PDF/2904/62385_CE[Ra1]_F(SHU)_PF1(PS_SHU)_redo_PFA(SHU)_PB(PS_SHU)_PN(SHU).pdf |
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| author | Imran Sajid Ashish Kumar Radhika Sahni Utkarsh Ravi Kant Sabeel Ahmad |
| author_facet | Imran Sajid Ashish Kumar Radhika Sahni Utkarsh Ravi Kant Sabeel Ahmad |
| author_sort | Imran Sajid |
| collection | DOAJ |
| description | Patellar Tendon (PT) rupture is an uncommon injury of the knee extensors. Majority of the PT ruptures occur at the insertion site, on the inferior pole of the patella as an avulsion injury, mostly in males of <40 years of age and involving sports persons or accidental cases. A case series of 10 cases of neglected PT rupture were managed with primary repair along with augmentation with semitendinosus and gracilis (Hamstring tendons) graft. Patient follow-up was done postoperatively at 2nd week, 6th week, 3 months, 6 months, and then yearly. A knee brace was given to the patient postoperatively to immobilise the knee for two weeks. Static quadriceps strengthening exercises were started from postoperative day two. Assisted quadriceps strengthening exercises were allowed after two weeks postoperatively. Active quadriceps strengthening exercises were initiated after four weeks postoperatively. Partial weight bearing was allowed after four weeks and full weight bearing was allowed after eight weeks postoperatively. Postoperatively functional scoring was done using the International Knee Documentation Committee (IKDC) and Lysholm scores, simultaneously checking the knee range of motion, Insaal-Salvati ratio and quadriceps girth. Total of 8 males and 2 females were present with the mean age 43.9 years ranging from 38-53 years. The average period of follow-up was 25.5 months (range 12-39 months). Results were excellent with faster recovery and regain their normal physically active life around 8 months after reconstruction. |
| first_indexed | 2024-03-13T05:37:15Z |
| format | Article |
| id | doaj.art-20106b1887e64ffcabdbce4050bc1552 |
| institution | Directory Open Access Journal |
| issn | 2277-8543 2455-6874 |
| language | English |
| last_indexed | 2024-03-13T05:37:15Z |
| publishDate | 2023-07-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj.art-20106b1887e64ffcabdbce4050bc15522023-06-14T06:34:59ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742023-07-01124SS01SS0410.7860/IJARS/2023/62385.2904Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten CasesImran Sajid0Ashish Kumar1Radhika Sahni2Utkarsh Ravi Kant3Sabeel Ahmad4Associate Professor, Department of Orthopaedics, FH Medical College and Hospital, Agra, Uttar Pradesh, India.Junior Resident, Department of Orthopaedics, FH Medical College and Hospital, Agra, Uttar Pradesh, India.Junior Resident, Department of General Surgery, FH Medical College and Hospital, Agra, Uttar Pradesh, India.Junior Resident, Department of Orthopaedics, FH Medical College and Hospital, Agra, Uttar Pradesh, India.Fellow (Adult Joint Reconstruction Surgery), Department of Orthopaedics, L H Hiranandani Hospital, Mumbai, Maharashtra, India.Patellar Tendon (PT) rupture is an uncommon injury of the knee extensors. Majority of the PT ruptures occur at the insertion site, on the inferior pole of the patella as an avulsion injury, mostly in males of <40 years of age and involving sports persons or accidental cases. A case series of 10 cases of neglected PT rupture were managed with primary repair along with augmentation with semitendinosus and gracilis (Hamstring tendons) graft. Patient follow-up was done postoperatively at 2nd week, 6th week, 3 months, 6 months, and then yearly. A knee brace was given to the patient postoperatively to immobilise the knee for two weeks. Static quadriceps strengthening exercises were started from postoperative day two. Assisted quadriceps strengthening exercises were allowed after two weeks postoperatively. Active quadriceps strengthening exercises were initiated after four weeks postoperatively. Partial weight bearing was allowed after four weeks and full weight bearing was allowed after eight weeks postoperatively. Postoperatively functional scoring was done using the International Knee Documentation Committee (IKDC) and Lysholm scores, simultaneously checking the knee range of motion, Insaal-Salvati ratio and quadriceps girth. Total of 8 males and 2 females were present with the mean age 43.9 years ranging from 38-53 years. The average period of follow-up was 25.5 months (range 12-39 months). Results were excellent with faster recovery and regain their normal physically active life around 8 months after reconstruction.https://www.ijars.net/articles/PDF/2904/62385_CE[Ra1]_F(SHU)_PF1(PS_SHU)_redo_PFA(SHU)_PB(PS_SHU)_PN(SHU).pdfinjurygraftinternational knee documentation committeepatellatendon |
| spellingShingle | Imran Sajid Ashish Kumar Radhika Sahni Utkarsh Ravi Kant Sabeel Ahmad Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases International Journal of Anatomy Radiology and Surgery injury graft international knee documentation committee patella tendon |
| title | Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases |
| title_full | Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases |
| title_fullStr | Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases |
| title_full_unstemmed | Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases |
| title_short | Hamstring Tendon Autograft for Chronic Patellar Tendon Rupture- A Series of Ten Cases |
| title_sort | hamstring tendon autograft for chronic patellar tendon rupture a series of ten cases |
| topic | injury graft international knee documentation committee patella tendon |
| url | https://www.ijars.net/articles/PDF/2904/62385_CE[Ra1]_F(SHU)_PF1(PS_SHU)_redo_PFA(SHU)_PB(PS_SHU)_PN(SHU).pdf |
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