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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2024; 15(7): 675-682
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.675
Published online Jul 18, 2024. doi: 10.5312/wjo.v15.i7.675
Gouty destruction of a patellar tendon reconstruction and novel revision reconstruction technique: A case report
Carl C Edge, Jonathan Widmeyer, Omar Protzuk, Maya Johnson, Department of Orthopaedic Surgery, Division of Sports Medicine, Virginia Commonwealth University Health System, Richmond, VA 23298-0153, United States
Robert O’Connell, Division of Sports Medicine, Orthowest, Carrolton, GA 30117, United States
Author contributions: Edge CC and Widmeyer J wrote the original manuscript; Edge CC, Protzuk O, Johnson M and O’Connell R conceptualised, wrote the review and edited; All authors have read and approved the final manuscript.
Informed consent statement: The patient provided informed written consent for collection and publication of information and imaging pertaining to this case.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Carl C Edge, MD, Researcher, Department of Orthopaedic Surgery, Virginia Commonwealth University Health System, 1200 E. Broad Street 9th FloorBox 980153, Richmond, VA 23298-0153, United States. carl.edge@vcuhealth.org
Received: April 3, 2024
Revised: May 7, 2024
Accepted: June 3, 2024
Published online: July 18, 2024
Processing time: 100 Days and 2.4 Hours
Revised: May 7, 2024
Accepted: June 3, 2024
Published online: July 18, 2024
Processing time: 100 Days and 2.4 Hours
Core Tip
Core Tip: We present a case of a 56-year-old female with severe systemic tophaceous gout who presented with a rupture of her revision patellar tendon reconstruction due to severe gouty infiltration. The major takeaway from this case is that with multiple failed reconstructions of the patellar tendon, both structural and biologic reinforcement were sought to provide this patient the best chance for recovery and a substantial reconstruction. We provided a robust structural construct as well as biologic reinforcement with the use of an Achilles tendon allograft with a wedge-shaped bone block and a dermal allograft incorporated into the reconstruction.