Quadriceps Tendon Rupture and Contralateral Patella Tendon Avulsion Post Primary Bilateral Total Knee Arthroplasty: A Case Report

  • Gaurav Sharma Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Vaibhav Bagaria Consultant Orthopaedic Surgeon, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Shyam Nadange Consultant Orthopaedic Surgeon, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Chaitanya Waghchoure Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Smit Shah Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Ravishanker Tangirala Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
  • Farokh Wadia Consultant Orthopaedic Surgeon, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
Keywords: Extensor Mechanism, Knee Replacement, Tendon Injury

Abstract

Background: Extensor mechanism failure secondary to knee replacement could be due to tibial tubercle avulsion, Patellar tendon rupture, patellar fracture or quadriceps tendon rupture. An incidence of Patella tendon rupture of 0.17% and Quadriceps tendon rupture of around 0.1% has been reported after Total knee arthroplasty. These are considered a devastating complication that substantially affects the clinical results and are challenging situations to treat with surgery being the mainstay of the treatment.

Case Description: We report here an interesting case of a patellar tendon rupture of one knee and Quadriceps tendon rupture of the contralateral knee following simultaneous bilateral knee replacement in a case of inflammatory arthritis patient. End to end repair for Quadriceps tear and augmentation with Autologous Hamstring tendon graft was done for Patella tendon rupture.

OUTCOME: Patient was followed up for a period of 1 year and there was no Extension lag with a flexion of 100 degrees in both the knees.

DISCUSSION: The key learning points and important aspects of diagnosing these injuries early and the management techniques are described in this unique case of bilateral extensor mechanism disruption following knee replacements.

Author Biographies

Gaurav Sharma, Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
M.S.Orthopaedics
Shyam Nadange, Consultant Orthopaedic Surgeon, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
DNB Orthopaedics
Chaitanya Waghchoure, Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
M.S.Orthopaedics
Smit Shah, Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
D.Ortho, M.S.Ortho, DNB Orthopaedics
Ravishanker Tangirala, Associate Orthopaedic surgeon, Dept of Orthopaedics, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
M.S.Orthopaedics
Farokh Wadia, Consultant Orthopaedic Surgeon, Sir HN Reliance Foundation Hospital, Prarthana Samaj, Girgaon-400004, Mumbai, Maharashtra, India
F.R.C.S., M.S.Orthopaedics

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Published
2016-07-15
How to Cite
Sharma, G., Bagaria, V., Nadange, S., Waghchoure, C., Shah, S., Tangirala, R., & Wadia, F. (2016). Quadriceps Tendon Rupture and Contralateral Patella Tendon Avulsion Post Primary Bilateral Total Knee Arthroplasty: A Case Report. Reconstructive Review, 6(2). https://doi.org/10.15438/rr.6.2.145
Section
Case Report