NDLI: Extensor mechanism reconstruction with achilles tendon allograft in TKA: results of an abbreviate rehabilitation protocol.

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Extensor mechanism reconstruction with achilles tendon allograft in TKA: results of an abbreviate rehabilitation protocol.

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Extensor mechanism reconstruction with achilles tendon allograft in TKA: results of an abbreviate rehabilitation protocol.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Diaz-Ledezma, Claudio Orozco, Fabio R. Delasotta, Lawrence A. Lichstein, Paul M. Post, Zachary D. Ong, Alvin C.
Description	Author Affiliation: Diaz-Ledezma C ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.); Orozco FR ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.); Delasotta LA ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.); Lichstein PM ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.); Post ZD ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.); Ong AC ( The Rothman Institute at Thomas Jefferson University, Egg Harbor Township, New Jersey.)
Abstract	Various treatment alternatives address extensor mechanism failure after total knee arthroplasty. We present the results of a protocol utilizing Achilles tendon allograft followed by an abbreviated immobilization program to treat extensor mechanism disruptions after TKA in 29 knees (27 patients). Failed reconstruction was defined as mechanical allograft failure requiring re-intervention, extension lag >30°, recurrent falls, regression to a lower ambulatory status, and revision due to infection. With mean follow-up of 3.5 years, seventeen cases (58.6%) had satisfactory results, eleven cases (37.9%) were considered failures, and one case was lost to follow-up. Among failures, eight (27.5%) underwent reoperation with four (13.8%) due to late infections. Our observational data suggest that 1) a shortened immobilization protocol yields less favorable results than expected, and 2) continuous monitoring of patients who had allograft reconstruction for possible development of late infection is recommended.
File Format	HTM / HTML
ISSN	08835403
Issue Number	6
Volume Number	29
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2014-06-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Achilles Tendon Transplantation Arthroplasty, Replacement, Knee Adverse Effects Knee Joint Surgery Reconstructive Surgical Procedures Methods Tendon Injuries Aged Aged, 80 And Over Female Humans Male Middle Aged Patella Injuries Reoperation Rupture Etiology Transplantation, Homologous Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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