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Patellar Tendon Lengthening: Rescue Procedure for Patella Baja.

ABSTRACT: Patella baja is a challenging pathologic condition that causes pain and functional restrictions and can even lead to premature osteoarthritis-even more so in cases of patella infera or cases associated with degeneration of the patellar tendon in which simple conservative treatment frequently is not resolutive. Several surgical options have been described for symptomatic patella baja: excision of the lower third of the patella, lengthening of the patellar tendon, reconstruction of the patellar tendon with allograft, and proximalization of the tibial tubercle. A combination of 2 or more of these treatments may be recommended in cases of significant patella baja. We present a simple and reproducible technique to address patella baja that combines a partial transposition of the tibial tubercle and patellar tendon lengthening using a subperiosteal patellar flap in continuity with the patellar tendon.

SUBMITTER: Perelli S

PROVIDER: S-EPMC6993128 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Patellar Tendon Lengthening: Rescue Procedure for Patella Baja.

Perelli Simone S Ibañez Maximiliano M Morales-Marin Carlos C Acuña-Avila Gabriel G Espinoza-von Bischhoffshausen Ricardo R Masferrer-Pino Angel A Monllau Juan Carlos JC

Arthroscopy techniques 20191202 1

Patella baja is a challenging pathologic condition that causes pain and functional restrictions and can even lead to premature osteoarthritis-even more so in cases of patella infera or cases associated with degeneration of the patellar tendon in which simple conservative treatment frequently is not resolutive. Several surgical options have been described for symptomatic patella baja: excision of the lower third of the patella, lengthening of the patellar tendon, reconstruction of the patellar te ...[more]

PMID: 32021766

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