Patellar tendon rupture--treatment results/Rezultati lecenja pokidane tetive casice kolena

Citation metadata

Authors: Nemanja Kovacev, Jelena Antic, Nemanja Gvozdenovic, Mirko Obradovic, Miodrag Vranjes and Miroslav Milankov
Date: January-February 2015
From: Medicinski Pregled(Vol. 68, Issue 1-2)
Publisher: Drustvo Lekara Vojvodine
Document Type: Report
Length: 4,362 words

Main content

Abstract :

Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective ten-year study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p = 0.0197 p Key words: Tendons; Rupture; Treatment Outcome; Patellar Ligament; Early Diagnosis; Reconstructive Surgical Procedures; Risk Factors; Range of Motion, Articular Sazetak Uvod. Kidanje ligamenta casice je retka povreda, cije neprepoznavanje i zakasneli hirurski tretman mogu da dovedu do gubitka funkcije zgloba kolena. Cilj rada je da prikaze nase rezultate operativnog lecenja pokidanog ligamenta casice i ukaze na znacaj pravovremene dijagnostike i hirurske intervencije. Materijal i metode. Desetogodisnjom retrospektivnom studijom obuvaceno je 20 pacijenata, 15 muskaraca i 5 zena prose?ne starosti 42 godine (20-84). Desnostrano kidanje ligamenta je bilo kod sedam, dok je kod 13 ispitanika povreda bila levostrana. Kod 13 pacijenata dijagnoza je postavljena u toku prvih sedam dana posle povrede. Sivenje ligamenta je uradeno kod 12 pacijenata, kod pet pacijenata ligamentoplastika kost-tetiva-kost alograftom uzetim iz banke kostiju, a kod tri pacijenta kontralateralnim kost-tetiva-kost kalemom. Procena rezultata lecenja izvrsena je na osnovu Lisolmovog skora, merenja obima pokreta u zglobu kolena i obim natkolenice 10 cm iznad casice. Rezultati. Period pracenja posle operacije je bio prosecno 4 godine (1-10 godina), a prosecna vrednost Lisolmovog skora bila je 83 (27-100). Odlican rezultat postignut je kod 11, zadovoljavajuci kod pet, a nezadovoljavajuci kod cetiri pacijenta. Dobijena je statisticki znacajna razlika (p = 0,0197 p Kljucne reci: Tetive; Ruptura; Ishod lecenja; Tetiva casice kolena; Rana dijagnoza; Rekonstruktivne hirurske procedure; Faktori rizika; Opseg pokreta zgloba

Source Citation

Source Citation
Kovacev, Nemanja, et al. "Patellar tendon rupture--treatment results/Rezultati lecenja pokidane tetive casice kolena." Medicinski Pregled, vol. 68, no. 1-2, 2015, p. 22+. Accessed 31 Oct. 2020.
  

Gale Document Number: GALE|A403449613