Seminars in Arthroplasty
Volume 20, Issue 3 , Pages 190-193 , September 2009

Extensor Mechanism Deficiency in Total Knee Arthroplasty

  • Mitchell Bernstein, MD

      Affiliations

    • Division of Orthopaedic Surgery, Montreal General Hospital, McGill University Health Centre, Montreal, QC, Canada
  • ,
  • Stephane G. Bergeron, MD

      Affiliations

    • Division of Orthopaedic Surgery, Montreal General Hospital, McGill University Health Centre, Montreal, QC, Canada
  • ,
  • John Antoniou, MD, PhD

      Affiliations

    • Division of Orthopaedic Surgery, Lady Davis Institute for Medical Research, SMBD-Jewish General Hospital, Montreal, QC, Canada
    • Corresponding Author InformationAddress reprint requests to John Antoniou, MD, PhD, Division of Orthopaedic Surgery, McGill University, SMBD-Jewish General Hospital, 3755 Chemin de la Côte Ste-Catherine, Room E-003, Montreal, QC H3T 1E2, Canada

References 

  1. Lord SR, Clark RD. Simple physiological and clinical tests for the accurate prediction of falling in older people. Gerontology. 1996;42:199–203
  2. Leopold SS, Greidanus N, Paprosky WG, et al. High rate of failure of allograft reconstruction of the extensor mechanism after total knee arthroplasty. J Bone Joint Surg Am. 1999;81:1574–1579
  3. Capanna R, Ruggieri P, Biagini R, et al. The effect of quadriceps excision on functional results after distal femoral resection and prosthetic replacement of bone tumors. Clin Orthop Relat Res. 1991;186–196
  4. Barrack RL, Stanley T, Allen Butler R. Treating extensor mechanism disruption after total knee arthroplasty. Clin Orthop Relat Res. 2003;98–104
  5. Rand JA, Morrey BF, Bryan RS. Patellar tendon rupture after total knee arthroplasty. Clin Orthop Relat Res. 1989;233–238
  6. Lynch AF, Rorabeck CH, Bourne RB. Extensor mechanism complications following total knee arthroplasty. J Arthroplasty. 1987;2:135–140
  7. Cadambi A, Engh GA. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty (A report of seven cases). J Bone Joint Surg Am. 1992;74:974–979
  8. Jaureguito JW, Dubois CM, Smith SR, et al. Medial gastrocnemius transposition flap for the treatment of disruption of the extensor mechanism after total knee arthroplasty. J Bone Joint Surg Am. 1997;79:866–873
  9. Crossett LS, Sinha RK, Sechriest VF, et al. Reconstruction of a ruptured patellar tendon with Achilles tendon allograft following total knee arthroplasty. J Bone Joint Surg Am 84-A. 2002;1354–1361
  10. Barrack RL, Lyons T. Proximal tibia—Extensor mechanism composite allograft for revision TKA with chronic patellar tendon rupture. Acta Orthop Scand. 2000;71:419–421
  11. Emerson RH, Head WC, Malinin TI. Extensor mechanism reconstruction with an allograft after total knee arthroplasty. Clin Orthop Relat Res. 1994;79–85
  12. Nazarian DG, Booth RE. Extensor mechanism allografts in total knee arthroplasty. Clin Orthop Relat Res. 1999;123–129
  13. Malhotra R, Garg B, Logani V, et al. Management of extensor mechanism deficit as a consequence of patellar tendon loss in total knee arthroplasty: A new surgical technique. J Arthroplasty. 2008;23:1146–1151
  14. Emerson RH, Head WC, Malinin TI. Reconstruction of patellar tendon rupture after total knee arthroplasty with an extensor mechanism allograft. Clin Orthop Relat Res. 1990;154–161
  15. Zanotti RM, Freiberg AA, Matthews LS. Use of patellar allograft to reconstruct a patellar tendon-deficient knee after total joint arthroplasty. J Arthroplasty. 1995;10:271–274
  16. Burnett RS, Fornasier VL, Haydon CM, et al. Retrieval of a well-functioning extensor mechanism allograft from a total knee arthroplasty (Clinical and histological findings). J Bone Joint Surg Br. 2004;86:986–990
  17. Webb LX, Toby EB. Bilateral rupture of the patella tendon in an otherwise healthy male patient following minor trauma. J Trauma. 1986;26:1045–1048
  18. Burnett RS, Berger RA, Della Valle CJ, et al. Extensor mechanism allograft reconstruction after total knee arthroplasty. J Bone Joint Surg Am. 2005;87(suppl 1):175–194
  19. Loehr J, Welsh RP. Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure. CMAJ. 1983;129:254–256
  20. Munshi NI, Mbubaegbu CE. Simultaneous rupture of the quadriceps tendon with contralateral rupture of the patellar tendon in an otherwise healthy athlete. Br J Sports Med. 1996;30:177–178
  21. Springer BD, Della Valle CJ. Extensor mechanism allograft reconstruction after total knee arthroplasty. J Arthroplasty. 2008;23:35–38
  22. Berger RA, Crossett LS, Jacobs JJ, et al. Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop Relat Res. 1998;144–153
  23. Burnett RS, Berger RA, Paprosky WG, et al. Extensor mechanism allograft reconstruction after total knee arthroplasty (A comparison of two techniques). J Bone Joint Surg Am. 2004;86-A:2694–2699
  24. Abril JC, Alvarez L, Vallejo JC. Patellar tendon avulsion after total knee arthroplasty (A new technique). J Arthroplasty. 1995;10:275–279
  25. Grace JN, Rand JA. Patellar instability after total knee arthroplasty. Clin Orthop Relat Rev. 1988;184–189
  26. Doolittle KH, Turner RH. Patellofemoral problems following total knee arthroplasty. Orthop Rev. 1988;17:696–702

PII: S1045-4527(09)00039-X

doi: 10.1053/j.sart.2009.09.001

Seminars in Arthroplasty
Volume 20, Issue 3 , Pages 190-193 , September 2009