Alshahrani Ayed A, Tedla Jaya Shanker, Alshehri Abdullah Ali, Abbas Zafer Yousef
Department of Orthopedic Surgery, Asir Central Hospital, Abha, Kingdom of Saudi Arabia.
Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Guraiger, P. O. Box Number - 3665, Abha, Kingdom of Saudi Arabia.
Indian J Orthop. 2022 Feb 15;56(5):933-937. doi: 10.1007/s43465-022-00608-5. eCollection 2022 May.
Muscle elongation by Ilizarov apparatus is one of the most remarkable surgeries performed to date. Chronic patella tendon injury is an uncommon condition, and due to its rarity, it is difficult to operate and restore the quality of life and function of the patient. Here we demonstrated a 40-year-old Saudi person who underwent a three-stage operative procedure on him: in the first stage we entailed debridement and removal of the implant; in the second stage, we performed this innovative Ilizarov muscle elongation of the quadriceps, and in the third stage, we reconstructed the right patellar tendon using a contralateral patella tendon bone autograft fixed by 3.5 screws proximal to the patella and distal to the tibial tuberosity and augmented by cerclage wires. After 3 months of intensive physical therapy, the patient regained his knee's range of motion and muscle strength and was able to return to his security job.
The online version contains supplementary material available at 10.1007/s43465-022-00608-5.
利用伊里扎洛夫器械进行肌肉延长是迄今为止最引人注目的手术之一。慢性髌腱损伤是一种罕见病症，因其罕见，手术难度大，且难以恢复患者的生活质量和功能。在此，我们展示了一名40岁的沙特人，他接受了三阶段手术：第一阶段进行清创和取出植入物；第二阶段，我们对股四头肌进行了创新的伊里扎洛夫肌肉延长术；第三阶段，我们使用对侧髌腱骨自体移植物重建右髌腱，该移植物通过3.5枚螺钉固定在髌骨近端和胫骨结节远端，并通过环扎钢丝加强。经过3个月的强化物理治疗，患者恢复了膝关节的活动范围和肌肉力量，能够重返保安工作岗位。
在线版本包含可在10.1007/s43465-022-00608-5获取的补充材料。
