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Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN Imprimir: 1050-6934
ISSN On-line: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2018025731
pages 63-71

Bilateral Spontaneous Quadriceps Tendon Ruptures after Staged Bilateral Total Knee Arthroplasties: A Case Report

Marine Coste
Department of Orthopaedic Surgery and Rehabilitation, SUNY Downstate Medical Center, Brooklyn, New York
Jared M. Newman
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY
Neil V. Shah
Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY
Ahmed M. Eldib
Department of Orthopaedic Surgery & Rehabilitation Medicine, SUNY Downstate Medical Center, 450 Clarkson Avenue, MSC 30; Brooklyn, NY 11203
Preston W. Grieco
Department of Orthopaedic Surgery and Rehabilitation, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA
Aditya V. Maheshwari
Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA

RESUMO

Quadriceps tendon ruptures are rare complications of total knee arthroplasty (TKA) and may be associated with preexisting tendon degeneration, vascular injuries during surgery, damage to the quadriceps tendon with over resection of the patella, or incomplete healing after a particular surgical approach. Moreover, postoperative causes include tissue necrosis due to component malalignment, trauma, and infection. Patient factors such as chronic systemic diseases, medications, increased body weight, and sedentary lifestyle could also be responsible. The number of reported cases on bilateral spontaneous quadriceps tendon ruptures is limited and cases are often not associated with TKA, but are likely associated with chronic diseases and medication use. Therefore, the purpose of the present study was to report on a patient who underwent bilateral TKA with sequential bilateral spontaneous quadriceps tendon ruptures postoperatively and to discuss their management.


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