Journal
JOURNAL OF ARTHROPLASTY
Volume 19, Issue 3, Pages 354-360Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2003.11.004
Keywords
extensor mechanism; proximal tibia; quadriceps tendon; Gore-Tex graft; gastrocnemius flap
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Competence of the extensor mechanism is the major determinant of functional outcome of patients after proximal tibia resection. A method of secondary reconstruction of the extensor mechanism using the middle third of the quadriceps tendon and the patellar retinaculum augmented with Gore-Tex strips and gastrocnemius flap is described. Between 1981 and 1997, 7 patients with extension lag greater than 20degrees at least I year after the initial surgery underwent secondary reconstruction of the extensor mechanism. All patients were followed up for a minimum of 2 years. Full extension to an extension lag of 10degrees was achieved in three patients, and an extension lag between 10degrees and 20degrees was achieved in 4 patients. All patients had good to excellent functional outcomes and reported no limitations in daily life activities.
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