Yang F, Wang GD, Huang R, Ma H, Zhao XW. Ligament augmentation reconstruction system artificial ligaments in patellar tendon reconstruction - a chronic patellar tendon rupture after multiple operations: A case report. World J Clin Cases 2020; 8(4): 831-837 [PMID: 32149068 DOI: 10.12998/wjcc.v8.i4.831]
Corresponding Author of This Article
Xiao-Wei Zhao, PhD, Professor, Department of Orthopedics, The Affiliated Hospital of Jining Medical University, 89 Guhuai Road, Jining 272000, Shandong Province, China. 18678766708@163.com
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/
World J Clin Cases. Feb 26, 2020; 8(4): 831-837 Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.831
Ligament augmentation reconstruction system artificial ligaments in patellar tendon reconstruction - a chronic patellar tendon rupture after multiple operations: A case report
Fei Yang, Guo-Dong Wang, Rong Huang, Hui Ma, Xiao-Wei Zhao
Fei Yang, Rong Huang, Hui Ma, School of Clinical Medicine, Jining Medical University, Jining 272067, Shandong Province, China
Guo-Dong Wang, Xiao-Wei Zhao, Department of Orthopedics, The Affiliated Hospital of Jining Medical University, Jining 272000, Shandong Province, China
Author contributions: Yang F collected the data, imaging and surgical reports and wrote the initial draft of the manuscript and subsequent revisions; Huang R and Ma H were the primary physicians during the patient’s hospital stay; Zhao XW was involved in editing and overseeing the text; Wang GD is the senior author who was the treating surgeon and was responsible for overseeing the report and editing the manuscript; All authors read and approved the final manuscript.
Supported byNational Natural Science Foundation of China, No. 81871814; Natural Science Foundation of Shandong Province, No. ZR2017MH119.
Informed consent statement: Informed consent as documented by signature obtained from this patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xiao-Wei Zhao, PhD, Professor, Department of Orthopedics, The Affiliated Hospital of Jining Medical University, 89 Guhuai Road, Jining 272000, Shandong Province, China. 18678766708@163.com
Received: November 28, 2019 Peer-review started: November 28, 2019 First decision: December 30, 2019 Revised: January 1, 2020 Accepted: February 10, 2020 Article in press: February 10, 2020 Published online: February 26, 2020 Processing time: 90 Days and 7.5 Hours
Abstract
BACKGROUND
Patellar tendon rupture is a rare disease, and reports regarding patellar tendon reconstruction with ligament augmentation reconstruction system (LARS) ligaments are limited, with only three reports available in the literature. LARS ligaments are made of polyethylene terephthalate and have been certified as a more favorable option than other tendon transplants. To our knowledge, this is the first report of patellar tendon reconstruction with LARS for suture fixation due to poor quality of the tendon after multiple operations to enable early mobilization and quick rehabilitation.
CASE SUMMARY
A 65-year-old woman had limited ability in extending her leg and an inability to perform a straight leg raise after multiple operations due to patella fracture. The patient underwent patellar tendon reconstruction with LARS artificial ligaments. After 12 mo of follow-up, the patient was able to perform a straight leg raise, and the incision healed well without complications. The Lysholm score was 95 and the range of motion of the knee was 0-130°.
CONCLUSION
This study revealed that patellar tendon reconstruction with LARS artificial ligaments is possible in a patient with a patellar tendon rupture who required rapid postoperative recovery.
Core tip: Patellar tendon rupture is a rare disease and leads to a loss of involvement in sports activities and hinders daily life activities due to loss of function of the knee extensor mechanism. We present a case of chronic patellar tendon rupture in a 65-year-old woman who underwent multiple operations, after 12 mo of follow-up, the patient had good clinical and functional outcomes.
