Suture Anchor Repair of Patellar Tendon Rupture after Total Knee Arthroplasty

Abstract

Extensor mechanism disruption after total knee arthroplasty (TKA) is a complex problem that often requires surgical repair for functional deficits. We present a brief technical note on suture anchor fixation of a patellar tendon rupture after TKA. A surgical technique and literature review follows. Although suture anchor fixation is well described for tendinous repairs in other areas of orthopedic surgery, no study has discussed the use of suture anchors in patellar tendon repair after TKA. The technique must be evaluated in more patients with longer follow-up before adoption.

Keywords

patellar tendon rupture - suture anchor - total knee arthroplasty

• References

• 1 Rand JA, Morrey BF, Bryan RS. Patellar tendon rupture after total knee arthroplasty. Clin Orthop Relat Res 1989; (244) 233-238
• 2 Lynch AF, Rorabeck CH, Bourne RB. Extensor mechanism complications following total knee arthroplasty. J Arthroplasty 1987; 2 (2) 135-140
• 3 Marder RA, Timmerman LA. Primary repair of patellar tendon rupture without augmentation. Am J Sports Med 1999; 27 (3) 304-307
• 4 Browne JA, Hanssen AD. Reconstruction of patellar tendon disruption after total knee arthroplasty: results of a new technique utilizing synthetic mesh. J Bone Joint Surg Am 2011; 93 (12) 1137-1143
• 5 Chiou HM, Chang MC, Lo WH. One-stage reconstruction of skin defect and patellar tendon rupture after total knee arthroplasty. A new technique. J Arthroplasty 1997; 12 (5) 575-579
• 6 Malhotra R, Garg B, Logani V, Bhan S. Management of extensor mechanism deficit as a consequence of patellar tendon loss in total knee arthroplasty: a new surgical technique. J Arthroplasty 2008; 23 (8) 1146-1151
• 7 Barrack RL, Stanley T, Allen Butler R. Treating extensor mechanism disruption after total knee arthroplasty. Clin Orthop Relat Res 2003; (416) 98-104
• 8 Fan CH, Lo CK, Yung SH, Chan KM. A rare mode of extensor mechanism failure in total knee arthroplasty. J Arthroplasty 2011; 26 (2) 338 , e9–e11
• 9 Burnett RS, Berger RA, Paprosky WG, Della Valle CJ, Jacobs JJ, Rosenberg AG. Extensor mechanism allograft reconstruction after total knee arthroplasty. A comparison of two techniques. J Bone Joint Surg Am 2004; 86-A (12) 2694-2699
• 10 Kim TW, Kamath AF, Israelite CL. Suture anchor repair of quadriceps tendon rupture after total knee arthroplasty. J Arthroplasty 2011; 26 (5) 817-820
• 11 Capiola D, Re L. Repair of patellar tendon rupture with suture anchors. Arthroscopy 2007; 23 (8) 906 , e1–e4
• 12 Bushnell BD, Byram IR, Weinhold PS, Creighton RA. The use of suture anchors in repair of the ruptured patellar tendon: a biomechanical study. Am J Sports Med 2006; 34 (9) 1492-1499
• 13 Goble EM, Somers WK, Clark R, Olsen RE. The development of suture anchors for use in soft tissue fixation to bone. Am J Sports Med 1994; 22 (2) 236-239