Transossäre Naht der Patellarsehnenruptur View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-03

AUTHORS

Sven-Oliver Dietz, Pol Maria Rommens, Martin Henri Hessmann

ABSTRACT

ObjectiveRestoration of active knee extension.Restoration of active knee stabilization.Avoiding secondary patella alta.IndicationsAcute rupture of the patellar tendon within 3–5 days.Chronic rupture of the patellar tendon.ContraindicationsCompromised general health status or associated injuries.Compromised local soft-tissue situation.Surgical TechniqueExposure of the ruptured tendon. Coronal drill hole through the distal third of the patella and coronal drill hole through the tibial tuberosity. After anatomic positioning of the patella (adjusting correct height), patellotibial fixation with monofil or woven (Labitzke) cerclage wire or PDS cord.Suture repair of the patellar tendon and repair of the ruptured medial and lateral retinaculum. Drain insertion. Wound closure in layers.Postoperative ManagementFull load bearing in cylinder cast.Week 0–2: flexion restricted to 30°, quadriceps muscle isometry.Week 2–4: flexion restricted to 60°, strengthening of hip abductors and extensors.Week 4–6: flexion restricted to 90°.After week 6: removal of cylinder cast.After week 12: return to sporting activities, removal of the cerclage wire.ResultsGood results after surgical therapy.Low rate of secondary rupture.Low rate of muscle weakness. More... »

PAGES

55-64

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00064-008-1228-8

DOI

http://dx.doi.org/10.1007/s00064-008-1228-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002711805

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18338119


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229 schema:name Klinik und Poliklinik für Unfallchirurgie, Universitätskliniken Mainz, Mainz
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