Eur J Orthop Surg Traumatol, 26 (2016), pp. For more information, please refer to our Privacy Policy. The use of suture anchors in repair of the ruptured patellar tendon: a biomechanical study. Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. Although suture anchor fixation is well described for repair of the ruptured native knee quadriceps tendon, no study has discussed the use of suture anchors in quadriceps repair after TKA. 26-year com-puterized surgical database has revealed 26 acute primary non - augmented quadriceps tendon repairs. M. Petri, A. Dratzidis, S. Brand, T. Calliess, C. Hurschler, C. Krettek, et al. We use cookies to help provide and enhance our service and tailor content and ads. Biomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). Knee Surg … It is secured to the patella with 2 SwiveLock anchors. Repair of a torn quadriceps tendon is necessary to restore the extensor mechanism of the knee. quadriceps tendon , patellar tendon , knee extensor mechanism , tendon repair , suture anchors , surgical technique. Suture anchor strength revisited. Using these anchors means that drill holes in the kneecap are not necessary. Copyright © 2021 Elsevier B.V. or its licensors or contributors. Quad and Patellar Tendon Repair Approved by M. Lemos, MD 10.2014; L. Scola, DPT, OCS, OMT; Review date 10.15 2 Overview Quadriceps and patellar tendon tears can be either partial or complete. Small footprint: 2.5mm suture anchor for all indications. This study aimed to analyze and compare the functional outcomes of patients treated for quadriceps tendon ruptures using suture anchors or transosseous sutures. Suture tape can improve the strength of the suture-tendon interface, and when combined with knotless anchors, leads to a stronger repair … These biomechanical findings may change the future clinical treatment for quadriceps tendon ruptures. Suture Anchor Repair of Quadriceps Tendon and Patellar Tendon Ruptures. 85-92. SonicAnchor utilizes SonicFusion™ technology to allow for interdigitation of the implant with the surrounding cancellous bone structure. The minimally … We present 5 cases of our technique of using suture anchors to repair the ruptured quadriceps tendon. … Quad Tendon Repair with PARS System Technique; Ruptures of the quadriceps and patellar tendons are common in elite and recreational athletes. Historically, open techniques have been used for rupture repairs but may be complicated by wound-healing issues and infection. Google Scholar You may search for similar articles that contain these same keywords or you may A recent development in quadriceps tendon repair is the use of suture anchors. To document patient-reported function, range of motion (ROM), and failure rate of a surgical technique for repairing quadriceps tendon (QT) and patellar tendon (PT) ruptures with suture anchors. 30 mins. Specimens were randomly assigned to either a suture anchor repair of quadriceps tendon group (n = 6) or a transosseous tunnel repair group (n = 6). Suture anchor repair of QT and PT ruptures results in full active extension and a low failure rate, but IKDC scores indicate continued functional deficits in most patients. You may be trying to access this site from a secured browser on the server. Suture tape can improve the strength of the suture-tendon interface, and when combined with knotless anchors, leads to a stronger repair … The failure rate of the 63 suture anchor repairs was 4.8%. Am J Sports Med. 800-638-3030 (within USA), 301-223-2300 (international) The effects of patient age, interval between injury and surgery, and length of follow-up period on postoperative IKDC scores were analyzed with Pearson correlation. By continuing you agree to the use of cookies. Filmed using GoPro for first person surgeon point of view. © 2017 by the Arthroscopy Association of North America. Abstract: Repair of a torn quadriceps tendon is necessary to restore the extensor mechanism of the knee. Anchors were placed in the bone of my upper arm to attach the biceps tendon to and an anchor was attached to the top of my shoulder to attach the rotator cuff tendon to. Get new journal Tables of Contents sent right to your email inbox, June 2019 - Volume 34 - Issue 2 - p 134-139, Suture Anchor Repair of Quadriceps Tendon and Patellar Tendon Ruptures, Articles in Google Scholar by Joel Huleatt, MD, Other articles in this journal by Joel Huleatt, MD, A Simple Technical Tip for Removal of Intramedullary Broken Drill Bit, The Promises and Challenges of Stem Cells Use for Orthopedic Applications: A New and Exciting Era in Biological Treatments, Perioperative Nutrition Care of Orthopedic Surgery Patient, An Easy Positioning Technique for Complex Proximal Tibia Fractures, Manual of Wiring Techniques for Orthopedic Surgery. Orthopedics | AbstractThis biomechanical study compared suture anchors versus transosseous sutures for repair of quadriceps tendon ruptures using a … No significant difference in IKDC score was found between knot-tied and knotless suture anchor repairs (P=0.4). Registered users can save articles, searches, and manage email alerts. Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. Suture tape can improve the strength of the suture-tendon interface, and when combined with knotless anchors, leads to a stronger repair construct than even traditional suture anchors and surgeon-tied knots. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. Patients were included if preoperative and minimum 6-month postoperative International Knee Documentation Committee (IKDC) scores and/or minimum 8-week postoperative ROM had been collected. Three of these patients Prospective multicentre study of the clinical and functional outcomes following quadriceps tendon repair with suture anchors. CrossRef View Record in Scopus Google Scholar. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. This repair has been successful, but can be a relatively time-consuming and labor intensive procedure, with potential complications including early or delayed patella fracture. Using FiberTape in a locking Krakow stitch pattern and securing it to the patella with two SwiveLock anchors creates an exceptionally strong construct. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. https://doi.org/10.1016/j.eats.2017.06.013. 1117-1124. management of an acute quadriceps tendon rupture is surgical repair with suture through transosseous patellar bone tunnels. This website uses cookies. A surgical technique and brief review of the literature follows. Despite the higher … Randomised controlled clinical trials are desirable for the future. It is stronger than traditional methods, and minimizes prominent knots from the sutures. Preliminary biomechanical testing shows improved strength and less gap formation compared to traditional suture anchor repair and traditional bone tunnel repair. Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. Data is temporarily unavailable. Some error has occurred while processing your request. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. your express consent. Biomechanical evaluation of suture anchor versus transosseous tunnel quadriceps tendon repair techniques. A Krackow stitch pattern is created with the FiberTape suture. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in This biomechanical study compared suture anchors versus transosseous sutures for repair of quadriceps tendon ruptures using a force of 150 N at a frequency of 0.5 Hz. Everything was going fine with PT and I had regained most of my shoulder's mobility when I had a setback. M. Petri, A. Dratzidis, S. Brand, et al. to maintaining your privacy and will not share your personal information without Techniques in Orthopaedics34(2):134-139, June 2019. One of oldest repair techniques is to sew thick sutures into the torn tendon and pass them through bone tunnels in the patella. 19 New techniques have been described to repair the quadriceps tendon, including a suture anchor-based repair, 20,21 the technique we chose to use. James Paci, MD, (Stony Brook, NY) demonstrates a new technique for quadriceps tendon repair using SwiveLock® anchors and FiberTape®. 16. Published by Elsevier. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Joel Huleatt, MD, at [email protected] or by mail at 12 Baldwin Street, West Hartford, CT 06110. I picked up a bag of what I thought was household trash to place in the trash bin with my repaired arm/shoulder. We present an illustrative case of successful suture anchor fixation of the quadriceps mechanism after TKA. Surgeons attach the tendon to the bone using small metal implants (called suture anchors). Quadriceps tendon rupture: a biomechanical comparison of transosseous equivalent double-row suture anchor versus transosseous tunnel repair J Knee Surg . However, contemporary techniques have promoted suture anchor repair as an excellent alternative. Traditional repair of the quadriceps tendon has used intraosseous bone tunnels through the patella with suture fixation and tied over a bone bridge. There remains no consensus regarding ideal revision patellar tendon repair technique. Ultrasonic technology liquefies anchor tip – the polymer interdigitates in surrounding cancellous bone and solidifies. Search for Similar Articles Quadriceps Tendon Repair Using Knotless Anchors and Suture Tape Michael H. Amini, M.D. There was no significant correlation between IKDC score and either increasing age (r=−0.23, P=0.15), increasing interval between injury and surgery (r=0.12, P=0.46) or length of follow-up period (r=0.07, P=0.67). This technical note is the first report we are aware of in the English language literature of a technique that uses suture anchors to attach the tendon to bone. Keywords Wolters Kluwer Health, Inc. and/or its subsidiaries. Arthroscopy , 32 (2016), pp. reported a new technique for quadriceps tendon repair using a semitendinosus tendon allograft, combined with suturing of the quadriceps tendon stump to the patella using anchors. The PARS system helps facilitate consistently reliable capture of the distal aspect of the quadriceps tendon and includes color-coded FiberWire ® and FiberTape ® sutures. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. The author reports the following potential conflicts of interest or sources of funding: Consultancy fees from Applied Biologics. Quadriceps tendon repair with suture anchors yields significantly better biomechanical results than the commonly applied transosseous sutures in this human cadaveric study. James M. Paci, MD, (Stony Brook, NY) demonstrates a new technique for proximal patellar tendon repair using SwiveLock ® anchors and FiberTape ® suture. The purpose of this Technical Note is to describe our preferred method for revision patellar tendon repair using suture anchors … There are several inherent challenges associated with revision patellar tendon repair, including quadriceps atrophy, contracture, tissue loss, excessive scarring, and improper patella height. Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. For immediate assistance, contact Customer Service: Quadriceps tendon repair using Arthrex Fibertape and 4.75mm biocomposite SwiveLock suture anchors. Suture type and repair configuration were equivalent. Registered users can save articles, searches, and manage email alerts. In addition to minimizing the surgical dissection required, equivalent biomechanical results have been linked to less gapping under cyclic load. By continuing to use this website you are giving consent to cookies being used. may email you for journal alerts and information, but is committed The repair of ruptured quadriceps tendon is commonly performed by weaving sutures through the ruptured tendon and then attaching the tendon to the bone by passing these sutures through tunnels in the superior patella. Most surgeons treat these injuries surgically to lessen the risk of long-term disability and morbidity. reported a 2.5% rate of thromboembolic complications, 1.2% superficial and 1.1% deep infection and 2% re-rupture (range: 0–8.3%). Repair of a torn quadriceps tendon is necessary to restore the extensor mechanism of the knee. All registration fields are required. After the respective procedures were performed, each patella was mounted into a gripping jig. Michael Bradley, MD, MBA, (Wakefield, RI) performs a quadriceps tendon repair with the PARS jig. Suture tape can improve the strength of the suture-tendon interface, and when combined with knotless anchors, leads to a stronger repair construct than even traditional suture anchors and surgeon-tied knots. Full ICMJE author disclosure forms are available for this article online, as supplementary material. YouTube. This is a newer method we use to repair torn quadriceps tendons. The senior au-thor’s (B.R.B.) ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Quadriceps Tendon Repair Using Knotless Anchors and Suture Tape. … The procedure has been performed in a total of 3 patients. Ciriello et al. Huleatt, Joel MD; Gebrelul, Aaron MD; Premkumar, Ajay MD; Xerogeanes, John MD. J.X. A review of the literature, including French … Author Information Bushnell BD, Byram IR, Weinhold PS, Creighton RA. Article Download PDF View Record in Scopus Google Scholar. Google Scholar; 13. Newer techniques include using suture anchors which can be screwed into the kneecap and sewn into the damaged tendon to facilitate repair. Partial tears do not completely disrupt the soft tissue. Clinical results in quadriceps tendon rupture repaired by anchors. [email protected]. Please try again soon. 2006; 34(9):1492–1499. Repair of a torn quadriceps tendon is necessary to restore the extensor mechanism of the knee. The minimally invasive Percutaneous Achilles Repair System (PARS) technique can be used to treat quadriceps, patellar, and Achilles tendon ruptures. Please enable scripts and reload this page. QT repair was performed in 36 patients with a mean postoperative IKDC score of 66.9 and mean ROM of 0 to 116 degrees. Suture anchor fixation of the quadriceps tendon … Huleatt, Joel MD; Gebrelul, Aaron MD; Premkumar, Ajay MD; Xerogeanes, John MD, Emory Orthopaedics & Spine Center, Atlanta, GA. … anchor-based pulley technique quadriceps tendon repair that best replicates the normal ana-tomic footprint and may poten - tially avoid the risk of patellar stress fracture. Suture anchors have been used with excellent success for tendon repair in other joints. This is a new technique, so data is still being collected on its effectiveness. A complete tear will split the tendon … 10.1016/S0749-8063(96)90216-9. All rights reserved. Lippincott Journals Subscribers, use your username or email along with your password to log in. Traditional repair methods involve transpatellar suture tunnels, but recent reports have introduced the idea of using suture anchors to repair the ruptured tendon. Wolters Kluwer Health Consecutive patients 18 years of age or older who had isolated QT or PT ruptures treated with suture anchor repair between 2004 and 2014 were identified. : consultant for Arthrex and Linvatec and has received unrestricted educational grants from Arthrex and Linvatec. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. 1996; 12(1):32–38. We consider this technique to be an innovative and promising alternative for the treatment of chronic quadriceps tendon ruptures. The remaining authors declare that they have nothing to disclose. Suture anchor repair yields better biomechanical properties than transosseous sutures in ruptured quadriceps tendons. 10.1177/0363546506287489. Please try after some time. PT repair was performed in 27 patients with a mean postoperative IKDC score of 64.4 and mean ROM of 0 to 117 degrees. Quadriceps tendon rupture is an incapacitating injury that usually requires surgical repair. Anchors. Here we describe our technique of quadriceps tendon repair using suture tape and knotless anchors. You can read the full text of this article if you: Your message has been successfully sent to your colleague. modify the keyword list to augment your search. Arthroscopy. Suture anchor repair has 800-638-3030 (within USA), 301-223-2300 (international). This is traditionally done by drilling 3 transosseous holes through the patella, suturing the torn tendon in a modified Krackow fashion, passing the sutures through each hole, and tying the sutures over the inferior pole of the patella.

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