Combined Patellar Tendon lengthening and partial Extensor Mechanism Allograft reconstruction for the treatment of patella infera: A case report

Patella infera is an uncommon but potentially crippling pathology of the knee, resulting in stiffness and anterior knee pain. Several surgical methods have been described for its treatment, but there remains no clear technique of choice. We present the case of a 63-year-old male with patella infera,...

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Bibliographic Details
Published in:The knee 2019-03, Vol.26 (2), p.515-520
Main Authors: Fiquet, C., White, N., Gaillard, R., Servien, E., Neyret, P., Lustig, S.
Format: Article
Language:English
Subjects:
Case reports
Complex regional pain syndrome
Hourglass Extensor Mechanism Allograft
Knee
Life Sciences
Pain
Patella
Patella infera
Patellar Tendon lengthening
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Summary:Patella infera is an uncommon but potentially crippling pathology of the knee, resulting in stiffness and anterior knee pain. Several surgical methods have been described for its treatment, but there remains no clear technique of choice. We present the case of a 63-year-old male with patella infera, affecting a native knee, following Complex Regional Pain Syndrome. This patient was treated with a combined technique of Patellar Tendon lengthening and partial Hourglass Extensor Mechanism Allograft reconstruction. The results were excellent at 24 months of follow-up. To our knowledge, this technique has not yet been published, and we present it as a promising treatment option in selected cases.
ISSN:0968-0160
1873-5800
DOI:10.1016/j.knee.2018.12.012