Patellar Tendon Lengthening : Rescue Procedure for Patella Baja
Perelli, Simone (Universitat Autònoma de Barcelona. Departament de Medicina)
Ibañez, Maximiliano (Hospital Universitari Dexeus (Barcelona, Catalunya))
Marin, Carlos Morales (Hospital Universitario de Cruces (Barakaldo, País Basc))
Acuña-Avila, Gabriel (Hospital de San Carlos, Chile)
Espinoza von Bischhoffshausen, Ricardo (Hospital Universitari Dexeus (Barcelona, Catalunya))
Pino, Angel Masferrer (Hospital Universitari Dexeus (Barcelona, Catalunya))
Monllau García, Juan Carlos (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Date:	2019
Abstract:	Patella baja is a challenging pathologic condition that causes pain and functional restrictions and can even lead to premature osteoarthritis-even more so in cases of patella infera or cases associated with degeneration of the patellar tendon in which simple conservative treatment frequently is not resolutive. Several surgical options have been described for symptomatic patella baja: excision of the lower third of the patella, lengthening of the patellar tendon, reconstruction of the patellar tendon with allograft, and proximalization of the tibial tubercle. A combination of 2 or more of these treatments may be recommended in cases of significant patella baja. We present a simple and reproducible technique to address patella baja that combines a partial transposition of the tibial tubercle and patellar tendon lengthening using a subperiosteal patellar flap in continuity with the patellar tendon.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Estudi clínic ; recerca ; Versió publicada
Published in:	Arthroscopy Techniques, Vol. 9 (december 2019) , p. e1-e8, ISSN 2212-6287

DOI: 10.1016/j.eats.2019.08.012
PMID: 32021766

8 p, 1.8 MB

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