Journal of orthopaedic trauma | 2022 | Campbell HT, Lowe DT, Egol KA
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[Indexed for MEDLINE] Conflict of interest statement: The authors report no conflict of interest. 7. EFORT Open Rev. 2022 May 31;7(6):384-395. doi: 10.1530/EOR-22-0021. Extensor mechanism ruptures. Tandogan RN(1)(2), Terzi E(1)(3), Gomez-Barrena E(4), Violante B(5), Kayaalp A(1)(2). Author information: (1)Department of Orthopedics & Traumatology, Halic University, Istanbul, Turkey. (2)Ortoklinik & Cankaya Orthopedics, Ankara, Turkey. (3)Avcilar Hospital, Istanbul, Turkey. (4)Department of Orthopedics & Traumatology, Universidad Autónoma de Madrid, Hospital La Paz, Madrid, Spain. (5)Orthopaedic Department, Clinical Institute Sant'Ambrogio, IRCCS - Galeazzi, Milano, Italy. Native patellar tendon injuries are seen in younger patients compared to quadriceps tendon ruptures. Up to a third of the patients may have local (antecedent tendinopathy and cortisone injections) or systemic risk factors (obesity, diabetes, hyperparathyroidism, chronic renal failure, fluoroquinolone or statin use) of injury, these are more frequent in bilateral disruptions. Complete extensor mechanism disruptions should be repaired surgically. Although isolated primary repair has been reported to have good outcomes in younger patients with acute tears and good tendon quality, augmentation of the repair with autograft, allograft or synthetic material should be considered in patients with poor tendon quality, chronic tears or tendon defects. High rates of return to work/sports have been reported in native patellar and quadriceps tendon tears, with re-rupture rates
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