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Clinical and Biomechanical Outcomes of One-Stage Treatment of a Simultaneous Ipsilateral Patellar Tendon and ACL Tear Combined with a Tibial Plateau Fracture: A Case Study

Ismailidis, Petros and Kernen, Rolf and Egloff, Christian and Nüesch, Corina and Mündermann, Annegret and Müller, Sebastian Andreas. (2020) Clinical and Biomechanical Outcomes of One-Stage Treatment of a Simultaneous Ipsilateral Patellar Tendon and ACL Tear Combined with a Tibial Plateau Fracture: A Case Study. Case Reports in Orthopedics, 2020. p. 5793948.

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Abstract

Simultaneous ipsilateral patellar tendon (PT) and anterior cruciate ligament (ACL) tear is a rare injury. Associated meniscal and ligamentous injuries are common but frequently initially missed. In contrast, to date, there is no report of associated fractures. We report on a 40-year-old female Caucasian patient presenting with a ski injury resulting in simultaneous ipsilateral patellar tendon and ACL tear combined with a tibia plateau fracture and a medial and lateral meniscus lesion. ORIF of the tibia as well as one-stage primary reconstruction of the PT and ACL and suturing of the menisci was conducted. The final follow-up was 2 years postoperatively. Lower extremity kinematic, kinetic, and muscle activity measurements were conducted. Although the clinical result was excellent, altered joint kinematics went along with large side-to-side difference in hip and knee joint moments during midstance and terminal stance. During weight acceptance, vastus medialis and hamstring muscles showed greater relative activity in the injured than the uninjured side. This case demonstrates the possibility of excellent early and midterm results with a one-stage approach and suitable rehabilitation scheme. Biomechanical measurements could further help evaluate the outcome of the treatments and implications for the development of potential secondary damage.
Faculties and Departments:03 Faculty of Medicine > Departement Biomedical Engineering > Biomechanics and Biomaterials
03 Faculty of Medicine > Departement Klinische Forschung
03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Traumatologie / Orthopädie (Jakob)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument > Traumatologie / Orthopädie (Jakob)
UniBasel Contributors:Mündermann, Annegret
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:Hindawi
ISSN:2090-6749
e-ISSN:2090-6757
Note:Publication type according to Uni Basel Research Database: Journal item
Language:English
Identification Number:
edoc DOI:
Last Modified:24 Jul 2020 03:10
Deposited On:09 Jun 2020 06:24

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