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, difficulty walking and/or pain. Its incidence is reported to be between 0.1% and 2.5% in all TKA but revision TKA is thought to carry a higher risk. 1 – 4 Extensor mechanism failure can present as quadriceps tendon rupture, patella fracture ( Fig. 1
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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most common tear type, occurring after eccentric contraction of the quadriceps muscle. Indirect high-energy trauma: patellar tendon rupture may be a part of multi-ligamentous injury of the knee and may be accompanied by meniscus and cartilage
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& Kaewkongnok B . Reconstruction of delayed diagnoses simultaneous bilateral distal biceps tendon ruptures using semtendinosus and quadriceps tendon autografts . SpringerPlus 2015 4 117 . ( https://doi.org/10.1186/s40064-015-0897-7 ) 42. Morrell NT
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lateralis, and vastus intermedius to form the quadriceps tendon, which inserts into the patella tendon and tibial tuberosity. 12 Several unique anatomical features of the rectus femoris predispose this muscle to proximal avulsion injuries. 5 The
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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commonly used grafts for ACLR include hamstring tendon (HT), bone–patellar tendon–bone (BPTB) and quadriceps tendon (QT) autografts, allografts and synthetic grafts. However, there is no uniform consensus on the single best graft choice for ACLR, with
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece
Centre of Orthopaedics and Regenerative Medicine (CORE) – Centre of Interdisciplinary Research and Innovation (CIRI) – Aristotle University Thessaloniki, Greece
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Gennimatas General Hospital, Cholargos, Athens, Greece
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to complete tendon rupture, frequently complicated by muscle fat atrophy. 4 This instructional review aims to present an outline of current literature evidence regarding the anatomy, diagnosis and treatment of hip abductor tendon lesions and
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tendon autograft for anterior cruciate ligament rupture in adults . Cochrane Database Syst Rev 2011 ;:CD005960. 29 Tiamklang T , Sumanont S , Foocharoen T , Laopaiboon M . Double-bundle versus single
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or desire for future participation in cutting or pivoting sports. There are multiple graft options for ACL reconstruction including bone-patellar tendon-bone (BPTB) autograft, quadriceps tendon autograft, hamstring tendon autograft and several
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al called the ‘wave sign’. 7 The sMCL tibial avulsions were classified into three types depending on the location of the ruptured end with respect to the pes anserinus tendons: type 1, the sMCL was detached from the original tibial insertion, and
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graft Thick and strong graft Anterior knee pain Patella fracture (rare) Patella tendon rupture (rare) Cannot be used if quadriceps tendon (QT) graft harvested from same knee Graft harvesting increases operating duration Quadriceps tendon (QT