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Combined quadriceps tendon reconstruction and total knee replacement with computer navigation: a case report
Imran Haruna Abdulkareem1, Perry Liu2, Ajeya Adhikhari2
1Southwest London Elective Orthopaedic Centre (SWLEOC), Epsom Surrey, UK. imranharuna@yahoo.com.
Journal of Medical Case Reports
|February 3, 2022
Summary
This case study presents a novel one-stage surgical technique for simultaneously addressing chronic quadriceps tendon rupture and knee osteoarthritis. The successful combined procedure highlights a new treatment option for complex extensor mechanism failures.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Chronic quadriceps tendon rupture presents surgical challenges, exacerbated by concurrent knee osteoarthritis.
- Simultaneous treatment options for these coexisting pathologies are rarely documented.
Observation:
- A 67-year-old male with a history of quadriceps tendon rupture and severe knee osteoarthritis underwent a combined one-stage procedure.
- The surgery involved computer-navigated total knee replacement followed by hamstring autograft reconstruction of the quadriceps tendon, augmented with a LARS ligament.
Findings:
- The combined one-stage surgery for chronic quadriceps tendon rupture and knee osteoarthritis yielded excellent outcomes at 6 months.
- The patient experienced no pain and regained full range of motion post-operatively.
Implications:
- This case demonstrates a successful, previously unreported, combined surgical approach for complex extensor mechanism failure and knee osteoarthritis.
- Computer navigation enhances accuracy in bone cuts during total knee replacement, crucial for anatomically disrupted knees.
- A multidisciplinary team approach and specialized surgical expertise are vital for managing such complex orthopedic cases.
