Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft

Autores
Ayerza, Miguel A; Aponte-Tinao, Luis A; Abalo, Eduardo; Muscolo, Domingo L.
Año de publicación
2006
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Reconstruction of extensor mechanism after proximal tibia tumor resection is a major concern, especially in young and physically active patients. We evaluated patellar tendon host-donor reattachments in 42 consecutive proximal tibia allo- graft reconstructions after bone tumor resection to determine if patellar tendon length and integrity was maintained, and if active knee extension and adequate function was achieved. Patellar tendon length was radiographically measured in all patients by the Insall-Salvati index while magnetic resonance was available in 19 patients to evaluate imaging integrity. Eight patients were not available for functional assessment, leaving 34 patients for clinical evaluation with the Musculoskeletal Tumor Society scoring system. According to the Insall-Salvati index evaluation, the reconstructed patellar tendon remained stable with no elongation between preoperative and postoperative measurements (1.15 versus 1.13). Postoperative magnetic resonance images showed a continuous patellar host-donor tendon in all. Active knee extension was restored in all functionally evaluated patients with an average functional score of 26.6 points. Twenty-four patients had no extensor lag, while ten had an average residual extensor lag of 6.5 degrees . Our findings suggest patellar tendon reconstruction with allogeneic tissue from the proximal tibia allograft sutured to the recipient´s remnant patellar tendon can restore and stabilize active knee extension.
Fil: Ayerza, Miguel A. Hospital Italiano; Argentina
Fil: Aponte-Tinao, Luis A. Hospital Italiano; Argentina
Fil: Abalo, Eduardo. Hospital Italiano; Argentina
Fil: Muscolo, Domingo L.. Hospital Italiano; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
Patellar
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/244125

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network_name_str CONICET Digital (CONICET)
spelling Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial AllograftAyerza, Miguel AAponte-Tinao, Luis AAbalo, EduardoMuscolo, Domingo L.Patellarhttps://purl.org/becyt/ford/3.5https://purl.org/becyt/ford/3Reconstruction of extensor mechanism after proximal tibia tumor resection is a major concern, especially in young and physically active patients. We evaluated patellar tendon host-donor reattachments in 42 consecutive proximal tibia allo- graft reconstructions after bone tumor resection to determine if patellar tendon length and integrity was maintained, and if active knee extension and adequate function was achieved. Patellar tendon length was radiographically measured in all patients by the Insall-Salvati index while magnetic resonance was available in 19 patients to evaluate imaging integrity. Eight patients were not available for functional assessment, leaving 34 patients for clinical evaluation with the Musculoskeletal Tumor Society scoring system. According to the Insall-Salvati index evaluation, the reconstructed patellar tendon remained stable with no elongation between preoperative and postoperative measurements (1.15 versus 1.13). Postoperative magnetic resonance images showed a continuous patellar host-donor tendon in all. Active knee extension was restored in all functionally evaluated patients with an average functional score of 26.6 points. Twenty-four patients had no extensor lag, while ten had an average residual extensor lag of 6.5 degrees . Our findings suggest patellar tendon reconstruction with allogeneic tissue from the proximal tibia allograft sutured to the recipient´s remnant patellar tendon can restore and stabilize active knee extension.Fil: Ayerza, Miguel A. Hospital Italiano; ArgentinaFil: Aponte-Tinao, Luis A. Hospital Italiano; ArgentinaFil: Abalo, Eduardo. Hospital Italiano; ArgentinaFil: Muscolo, Domingo L.. Hospital Italiano; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaLippincott Williams2006-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/244125Ayerza, Miguel A; Aponte-Tinao, Luis A; Abalo, Eduardo; Muscolo, Domingo L.; Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft; Lippincott Williams; Clinical Orthopaedics And Related Research.; 450; 9-2006; 33-380009-921XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1097/01.blo.0000229291.21722.b5info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:03:03Zoai:ri.conicet.gov.ar:11336/244125instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:03:03.57CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
title Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
spellingShingle Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
Ayerza, Miguel A
Patellar
title_short Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
title_full Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
title_fullStr Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
title_full_unstemmed Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
title_sort Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft
dc.creator.none.fl_str_mv Ayerza, Miguel A
Aponte-Tinao, Luis A
Abalo, Eduardo
Muscolo, Domingo L.
author Ayerza, Miguel A
author_facet Ayerza, Miguel A
Aponte-Tinao, Luis A
Abalo, Eduardo
Muscolo, Domingo L.
author_role author
author2 Aponte-Tinao, Luis A
Abalo, Eduardo
Muscolo, Domingo L.
author2_role author
author
author
dc.subject.none.fl_str_mv Patellar
topic Patellar
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.5
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Reconstruction of extensor mechanism after proximal tibia tumor resection is a major concern, especially in young and physically active patients. We evaluated patellar tendon host-donor reattachments in 42 consecutive proximal tibia allo- graft reconstructions after bone tumor resection to determine if patellar tendon length and integrity was maintained, and if active knee extension and adequate function was achieved. Patellar tendon length was radiographically measured in all patients by the Insall-Salvati index while magnetic resonance was available in 19 patients to evaluate imaging integrity. Eight patients were not available for functional assessment, leaving 34 patients for clinical evaluation with the Musculoskeletal Tumor Society scoring system. According to the Insall-Salvati index evaluation, the reconstructed patellar tendon remained stable with no elongation between preoperative and postoperative measurements (1.15 versus 1.13). Postoperative magnetic resonance images showed a continuous patellar host-donor tendon in all. Active knee extension was restored in all functionally evaluated patients with an average functional score of 26.6 points. Twenty-four patients had no extensor lag, while ten had an average residual extensor lag of 6.5 degrees . Our findings suggest patellar tendon reconstruction with allogeneic tissue from the proximal tibia allograft sutured to the recipient´s remnant patellar tendon can restore and stabilize active knee extension.
Fil: Ayerza, Miguel A. Hospital Italiano; Argentina
Fil: Aponte-Tinao, Luis A. Hospital Italiano; Argentina
Fil: Abalo, Eduardo. Hospital Italiano; Argentina
Fil: Muscolo, Domingo L.. Hospital Italiano; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Reconstruction of extensor mechanism after proximal tibia tumor resection is a major concern, especially in young and physically active patients. We evaluated patellar tendon host-donor reattachments in 42 consecutive proximal tibia allo- graft reconstructions after bone tumor resection to determine if patellar tendon length and integrity was maintained, and if active knee extension and adequate function was achieved. Patellar tendon length was radiographically measured in all patients by the Insall-Salvati index while magnetic resonance was available in 19 patients to evaluate imaging integrity. Eight patients were not available for functional assessment, leaving 34 patients for clinical evaluation with the Musculoskeletal Tumor Society scoring system. According to the Insall-Salvati index evaluation, the reconstructed patellar tendon remained stable with no elongation between preoperative and postoperative measurements (1.15 versus 1.13). Postoperative magnetic resonance images showed a continuous patellar host-donor tendon in all. Active knee extension was restored in all functionally evaluated patients with an average functional score of 26.6 points. Twenty-four patients had no extensor lag, while ten had an average residual extensor lag of 6.5 degrees . Our findings suggest patellar tendon reconstruction with allogeneic tissue from the proximal tibia allograft sutured to the recipient´s remnant patellar tendon can restore and stabilize active knee extension.
publishDate 2006
dc.date.none.fl_str_mv 2006-09
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/244125
Ayerza, Miguel A; Aponte-Tinao, Luis A; Abalo, Eduardo; Muscolo, Domingo L.; Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft; Lippincott Williams; Clinical Orthopaedics And Related Research.; 450; 9-2006; 33-38
0009-921X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/244125
identifier_str_mv Ayerza, Miguel A; Aponte-Tinao, Luis A; Abalo, Eduardo; Muscolo, Domingo L.; Continuity and Function of Patellar Tendon Host-Donor Suture in Tibial Allograft; Lippincott Williams; Clinical Orthopaedics And Related Research.; 450; 9-2006; 33-38
0009-921X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1097/01.blo.0000229291.21722.b5
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Lippincott Williams
publisher.none.fl_str_mv Lippincott Williams
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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