Li TJ, Sun JY, Du YQ, Shen JM, Zhang BH, Zhou YG. Early patellar tendon rupture after total knee arthroplasty: A direct repair method. World J Clin Cases 2022; 10(31): 11349-11357 [PMID: 36387798 DOI: 10.12998/wjcc.v10.i31.11349]
Corresponding Author of This Article
Yong-Gang Zhou, PhD, Chief Physician, Department of Orthopedics, The First Medical Center of PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100048, China. ygzhou301@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Tie-Jian Li, Jing-Yang Sun, Yin-Qiao Du, Jun-Min Shen, Bo-Han Zhang, Yong-Gang Zhou, Department of Orthopedics, The First Medical Center of PLA General Hospital, Beijing 100048, China
Tie-Jian Li, Jing-Yang Sun, Yin-Qiao Du, Jun-Min Shen, Bo-Han Zhang, Yong-Gang Zhou, Senior Department of Orthopedics, The Fourth Medical Center of PLA General Hospital, National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation, Beijing 100853, China
Author contributions: Li TJ and Sun JY contributed equally to this article; Li TJ and Sun JY designed and performed the research and wrote the paper; Zhou YG designed the research and supervised the report; Du YQ designed the research and contributed to the analysis; Shen JM and Zhang BH provided clinical advice.
Institutional review board statement: The Ethics Committee of General Hospital of Chinese People’s Liberation Army approved the study protocol. All the study participants provided written informed consent for the study.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors declare that they have no competing interests for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-Gang Zhou, PhD, Chief Physician, Department of Orthopedics, The First Medical Center of PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100048, China. ygzhou301@163.com
Received: February 4, 2022 Peer-review started: February 4, 2022 First decision: June 15, 2022 Revised: July 28, 2022 Accepted: September 27, 2022 Article in press: September 27, 2022 Published online: November 6, 2022
ARTICLE HIGHLIGHTS
Research background
Patellar tendon rupture after total knee arthroplasty (TKA) is a catastrophic complication.
Research motivation
There has been no unified treatment for early patella tendon rupture after TKA, and long-term follow-up data are lacking. The purpose of this study was to introduce a direct repair method for early patella tendon rupture following TKA and determine the clinical outcomes and complications of this method.
Research objectives
To compare the results to similar studies to summarize potential advantages and disadvantages.
Research methods
We retrospectively reviewed the medical records of all patients who underwent TKA from 2008 to 2021 and were eligible for inclusion in this study. Patients with early patellar tendon rupture after TKA were included.
Research results
For all the 12 patients who underwent direct repair for early patellar tendon rupture, three patients failed: One (8.3%) for infection and two (17.6%) for re-fracture. The two patients with re-fracture both underwent reoperation to reconstruct the extensor mechanism and the patient with infection underwent revision surgery.
Research conclusions
This direct repair method for early patellar tendon rupture is not an ideal therapy.
Research perspectives
We suggested that direct repair should not be the preferred method to treat early patella tendon rupture, but other reconstruction methods should be boldly chosen.
