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Table 3 QTR in patient previously treated with TKA

From: Complex ruptures of the quadriceps tendon: a systematic review of surgical procedures and outcomes

Nr. of reference

No. of patients

Gender

Mean age

Mechanism of rupture

Time before surgery

Type of lesion/rerupture

Associated injury/comorbidities

Type of surgery

Complications

[44] Chronic quadriceps tendon rupture after total knee arthroplasty augmented with synthetic mesh. (2017) Ormaza et al.

3

2 M 1 F

67,5

One of them experienced trauma 1 year after TKA revision surgery; one of them 6 months after TKA revision surgery; one of them 2 years after TKA revision surgery

148 days

Full thickness

One of them had a hystory of hemochromatosis

End-to-end sutures No. 5 Ethibond and reinforcement with MUTARS synthetic mesh

None

[18] Repair of ruptured quadriceps tendon with Leeds-Keio ligament following revision knee surgery. (2008) Rust et al.

1

F

86

4 months after TKA revision surgery

120 days

Chronic full-thickness + 10-cm QT retraction

None

Leeds-Keio graft inserted in an 8 shape and sutured to the periosteum

None

[23] Modified V-Y turndown flap augmentation for quadriceps tendon rupture following total knee arthroplasty: a retrospective study. (2019) Shi et al.

23

10 M 13F

61

Fall from a standing height after TKA

21 days (range, 14 to 56 days)

Complete quadriceps tendon rupture following TKA + 1rerupture

Obesity, diabetes, chronic dialysis, steroid dependence (12pt)

V-Y turndown flap

1 hematoma and delayed wound healing 1 fall and rerupture after 24 months

[37] Extensor mechanism reconstruction with use of Marlex Mesh. (2019) Abdel et al.

27

10 M 17 F

67

Rupture after TKA

219

Complete QT rupture

Obesity, diabetes, coronary artery diease, hypertension, OA, rheumatoid arthritis, Parkinson, cancer (leukemia, breast cancer, bladder cancer)

Marlex Mesh augmentation

5 QT re-ruptures that required mesh revision

[38] Polypropylene mesh augmentation for complete quadriceps rupture after total knee arthroplasty. (2016) Nodzo et al.

7

2 M 5 F

58,7

Rupture after TKA

90 days

Complete QT rupture

Diabetes, rheumathoid arhtritis, chronic pulmunary disease with steroid use, HCV, drug abuse, smoke, chronic renal failure

Polypropylene mesh augmentation

2 QT reruptures and 2 QT rerupture with infections

[33] Reconstruction of disrupted extensor mechanism after total knee arthroplasty. (2017) Lim et al.

3

2 M 1 F

59

Rupture after TKA

205 days

Complete QT rupture

GERD, Pulmunary embolism, diabetes, hypothyroid, asthma, hypertension, stroke, smoke

Achilles tendon allograft

1 deep infection and graft failure

[34] Long-term results of extensor mechanism reconstruction using Achilles tendon allograft after total knee arthroplasty. (2018) Wise et al.

6

3 M 3 F

68

Rupture after TKa

Complete QT rupture [5] + 1 bilateral rupture

Hypertension [3],GERD, obesity [3], hypothyroidism, asthma, chronic kidney disease, OA, Diabetes [3]

Achilles tendon allograft

None

[48] Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes. (2005) Dobbs et al.

7

1 M 6 F

72

3 patients fall, 1 patients while kneeling, 2 patients while walking, 1 patient while rising from a chair

40 days

QT rupture after TKA, 1 rerupture

Obesity [1], steroid abuse [1], DM [1]

Suture

4 reruptures and 1 chronic recurvatum