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TREATMENT OF QUADRICEPS TENDON RUPTURE IN HEMODIALYSIS PATIENTS: A 2020 UPDATE
Luis Marcelo de Azevedo Malta1, Alair Augusto Sarmet Moreira Damas Dos Santos2, Marcio Carpi Malta1
1Universidade Federal Fluminense, Faculty of Medicine, General and Specialized Surgery Department, Rio de Janeiro, RJ, Brazil.
Acta Ortopedica Brasileira
|July 22, 2022
Summary
Quadriceps tendon tears are uncommon, particularly in end-stage renal disease patients. Surgery is the primary treatment, with autologous tendon grafts often used for reinforcement.
Area of Science:
- Orthopedic Surgery
- Nephrology
- Musculoskeletal Diseases
Background:
- Quadriceps tendon tears are rare but linked to chronic conditions like end-stage renal disease (ESRD).
- Secondary hyperparathyroidism in ESRD patients weakens the tendon-bone junction, increasing tear risk.
- Prompt surgical intervention is the standard treatment for quadriceps tendon ruptures in ESRD patients.
Purpose of the Study:
- To review current treatment strategies for quadriceps tendon ruptures in ESRD patients.
- To highlight the role of secondary hyperparathyroidism in these injuries.
- To discuss the efficacy and indications of various surgical techniques.
Main Methods:
- Literature review of studies on quadriceps tendon tears in ESRD patients.
- Analysis of surgical techniques, including autologous tendon grafts.
- Evaluation of emerging treatments like biological agents and allografts.
Main Results:
- No definitive comparative studies exist to establish the best surgical technique.
- Combined surgical techniques are increasingly favored.
- Autologous tendon grafts are a common reinforcement method.
Conclusions:
- Surgical repair is essential for quadriceps tendon ruptures in ESRD patients.
- Autologous tendon grafts are a preferred reinforcement strategy.
- Further research is needed on biological agents and allografts before routine recommendation.
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