Tang DZ, Liu Q, Pan JK, Chen YM, Zhu WH. Autogenous iliotibial band enhancement combined with tendon lengthening plasty to treat patella baja: A case report. World J Clin Cases 2022; 10(4): 1255-1262 [PMID: 35211558 DOI: 10.12998/wjcc.v10.i4.1255]
Corresponding Author of This Article
Wei-Hong Zhu, MD, Doctor, Surgeon, Department of Orthopaedics, The Second Xiangya Hospital, Central South University, No. 139 Middle Renmin Road, Changsha 410000, Hunan Province, China. zhuweihong@csu.edu.cn
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
De-Zhou Tang, Qian Liu, Jian-Kang Pan, Yue-Ming Chen, Wei-Hong Zhu, Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha 410000, Hunan Province, China
Author contributions: All authors contributed to the case conception and design; Zhu WH provided the valuable case and performed the operation; Data collection and analysis were performed by Tang DZ, Chen YM, and Pan JK; The first draft of the manuscript was written by Tang DZ and Liu Q, they are the co-first authors, and their contributions are equal; all authors commented on previous versions of the manuscript; all authors read and approved the final manuscript.
Informed consent statement: The patient has signed the informed consent and agreed to have his case included in the publication of the article.
Conflict-of-interest statement: There is no conflict of interest between the authors of this report.
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: Wei-Hong Zhu, MD, Doctor, Surgeon, Department of Orthopaedics, The Second Xiangya Hospital, Central South University, No. 139 Middle Renmin Road, Changsha 410000, Hunan Province, China. zhuweihong@csu.edu.cn
Received: March 14, 2021 Peer-review started: March 14, 2021 First decision: April 23, 2021 Revised: November 15, 2021 Accepted: December 7, 2021 Article in press: December 7, 2021 Published online: February 6, 2022
Abstract
BACKGROUND
Patella baja is a severe complication after knee injury or surgery, resulting in pain and impaired movement. This disorder is also a substantial challenge for orthopaedic surgeons. Currently, no consensus exists regarding the gold standard management of patella baja. If not appropriately treated, significant dysfunction of the knee joint will occur.
CASE SUMMARY
A 46-year-old man with a left patellar fracture was treated with tension band fixation at a local hospital. He had undergone a second operation at the same hospital because of limited knee flexion 6 mo after surgery. Unfortunately, the patellar tendon was ruptured. The patellar tendon was subsequently repaired using an ipsilateral semitendinosus tendon. Two years later, the patient presented to our department with knee pain and loss of range of motion. Autogenous iliotibial band (ITB) enhancement combined with sagittal tendon lengthening plasty was used to improve the symptoms of the knee joint. The patient was followed up for 2 years. The knee joint function of the patient returned to the normal level.
CONCLUSION
We successfully treated patella baja using autogenous ITB enhancement combined with sagittal tendon lengthening plasty.
Core tip: Patella baja combined with knee dysfunction can be observed in patients with patellar trauma. If not properly managed, joint stiffness and patellofemoral arthritis will occur, seriously affecting quality of life. Various therapeutic approaches are available, but no consensus exists regarding which is the best surgical approach. In this case report, we used our approach to treat patella baja using autogenous iliotibial band enhancement combined with tendon lengthening plasty to restore knee function with remarkable results.
