Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique

<p>Abstract</p> <p>Background</p> <p>Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications.</p> <p>Methods</...

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Main Authors: Ghandour Adel, Ferran Nicholas A, Deane Crawford R, Morgan-Jones Rhidian L
Format: Article
Language:English
Published: BMC 2008-06-01
Series:BMC Musculoskeletal Disorders
Online Access:http://www.biomedcentral.com/1471-2474/9/98
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author Ghandour Adel
Ferran Nicholas A
Deane Crawford R
Morgan-Jones Rhidian L
author_facet Ghandour Adel
Ferran Nicholas A
Deane Crawford R
Morgan-Jones Rhidian L
author_sort Ghandour Adel
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications.</p> <p>Methods</p> <p>This article describes suture fixation of the osteotomy using Ethibond sutures placed medially with a lateral periosteal hinge.</p> <p>Results</p> <p>This method of fixation relies upon an adequate osteotomy segment including the entire insertion of the patella tendon. The lateral periosteal hinge is maintained and adds to the stability of the construct. A minimum of two number 5 Ethibond sutures are passed medially through drill holes to secure the osteotomy segment. No post-operative immobilisation is required.</p> <p>Conclusion</p> <p>Ethibond sutures provide adequate fixation of the tibial tubercle osteotomy segment in revision knee arthroplasty with reduced risk of complication as compared to conventional fixation methods.</p>
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spelling doaj.art-51c9fa4c5acc4b708cbbc25773cd80be2022-12-22T03:28:24ZengBMCBMC Musculoskeletal Disorders1471-24742008-06-01919810.1186/1471-2474-9-98Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair techniqueGhandour AdelFerran Nicholas ADeane Crawford RMorgan-Jones Rhidian L<p>Abstract</p> <p>Background</p> <p>Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications.</p> <p>Methods</p> <p>This article describes suture fixation of the osteotomy using Ethibond sutures placed medially with a lateral periosteal hinge.</p> <p>Results</p> <p>This method of fixation relies upon an adequate osteotomy segment including the entire insertion of the patella tendon. The lateral periosteal hinge is maintained and adds to the stability of the construct. A minimum of two number 5 Ethibond sutures are passed medially through drill holes to secure the osteotomy segment. No post-operative immobilisation is required.</p> <p>Conclusion</p> <p>Ethibond sutures provide adequate fixation of the tibial tubercle osteotomy segment in revision knee arthroplasty with reduced risk of complication as compared to conventional fixation methods.</p>http://www.biomedcentral.com/1471-2474/9/98
spellingShingle Ghandour Adel
Ferran Nicholas A
Deane Crawford R
Morgan-Jones Rhidian L
Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
BMC Musculoskeletal Disorders
title Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
title_full Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
title_fullStr Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
title_full_unstemmed Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
title_short Tibial tubercle osteotomy for access during revision knee arthroplasty: Ethibond suture repair technique
title_sort tibial tubercle osteotomy for access during revision knee arthroplasty ethibond suture repair technique
url http://www.biomedcentral.com/1471-2474/9/98
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AT deanecrawfordr tibialtubercleosteotomyforaccessduringrevisionkneearthroplastyethibondsuturerepairtechnique
AT morganjonesrhidianl tibialtubercleosteotomyforaccessduringrevisionkneearthroplastyethibondsuturerepairtechnique