Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report
Background: The extensor apparatus of the knee can be thought of a chain that transmits the muscular strength developed by the quadriceps muscles to the proximal tibia. This complex is essential to allow the extension of the tibia over the femur, being essential to provide knee mobility and stabili...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2024-06-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://www.journals.vu.lt/AML/article/view/33906 |
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| author | Fabio Cosseddu Martina Cordoni Elena Bechini Edoardo Ipponi Francesco Rosario Campo Antonio D'Arienzo Lorenzo Andreani |
| author_facet | Fabio Cosseddu Martina Cordoni Elena Bechini Edoardo Ipponi Francesco Rosario Campo Antonio D'Arienzo Lorenzo Andreani |
| author_sort | Fabio Cosseddu |
| collection | DOAJ |
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Background: The extensor apparatus of the knee can be thought of a chain that transmits the muscular strength developed by the quadriceps muscles to the proximal tibia. This complex is essential to allow the extension of the tibia over the femur, being essential to provide knee mobility and stability. In case of lesions which irreparably damage the patella, such as a locally aggressive bone tumor, it is necessary to restore both the apparatus’ anatomical continuity and its strength.Case report: A 39-years-old Caucasian man with a history of lung carcinoma developed atraumatic swelling and soreness in his left knee. Imaging evidence reported a degeneration of the left patella. We performed an en bloc resection of the patella and the nearby soft tissues of the extensor apparatus. The resulting gap was fulfilled with a massive allograft consisting of a quadriceps tendon, a patella and a patellar ligament. No complication or local recurrences were observed. At the patient’s latest follow-up, he did not have any extension lag and quadriceps strength was completely restored.Conclusion: Massive allografts can represent a reliable alternative for the reconstruction of the patella and the knee extensor apparatus in orthopedic oncology.
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| format | Article |
| id | doaj-art-d35969343e8b4576b0654c8608df8ca5 |
| institution | Kabale University |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj-art-d35969343e8b4576b0654c8608df8ca52025-01-20T18:07:54ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-06-0131110.15388/Amed.2024.31.1.24Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case ReportFabio Cosseddu0https://orcid.org/0000-0003-3416-7071Martina Cordoni1https://orcid.org/0009-0005-9353-4320Elena Bechini2https://orcid.org/0009-0004-9276-4362Edoardo Ipponi3https://orcid.org/0000-0003-2107-6357Francesco Rosario Campo4Antonio D'Arienzo5https://orcid.org/0000-0003-1016-5944Lorenzo Andreani6https://orcid.org/0000-0002-8268-6987University of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, ItalyUniversity of Pisa - Department of Orthopedics and Trauma Surgery, Italy Background: The extensor apparatus of the knee can be thought of a chain that transmits the muscular strength developed by the quadriceps muscles to the proximal tibia. This complex is essential to allow the extension of the tibia over the femur, being essential to provide knee mobility and stability. In case of lesions which irreparably damage the patella, such as a locally aggressive bone tumor, it is necessary to restore both the apparatus’ anatomical continuity and its strength.Case report: A 39-years-old Caucasian man with a history of lung carcinoma developed atraumatic swelling and soreness in his left knee. Imaging evidence reported a degeneration of the left patella. We performed an en bloc resection of the patella and the nearby soft tissues of the extensor apparatus. The resulting gap was fulfilled with a massive allograft consisting of a quadriceps tendon, a patella and a patellar ligament. No complication or local recurrences were observed. At the patient’s latest follow-up, he did not have any extension lag and quadriceps strength was completely restored.Conclusion: Massive allografts can represent a reliable alternative for the reconstruction of the patella and the knee extensor apparatus in orthopedic oncology. https://www.journals.vu.lt/AML/article/view/33906Extensor ApparatusPatellaBone MetastasisAllograftRehabilitation |
| spellingShingle | Fabio Cosseddu Martina Cordoni Elena Bechini Edoardo Ipponi Francesco Rosario Campo Antonio D'Arienzo Lorenzo Andreani Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report Acta Medica Lituanica Extensor Apparatus Patella Bone Metastasis Allograft Rehabilitation |
| title | Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report |
| title_full | Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report |
| title_fullStr | Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report |
| title_full_unstemmed | Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report |
| title_short | Knee Extensor Apparatus Reconstruction with Allograft after Patellar Resection: A Case Report |
| title_sort | knee extensor apparatus reconstruction with allograft after patellar resection a case report |
| topic | Extensor Apparatus Patella Bone Metastasis Allograft Rehabilitation |
| url | https://www.journals.vu.lt/AML/article/view/33906 |
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