Treatment of neglected patellar tendon rupture using LARS ligament: A case series
ESSKA Academy. Veravalli K. Nov 8, 2019; 284384; epEKA-49
Karunakar Veravalli
Karunakar Veravalli
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Treatment of neglected patellar tendon rupture using LARS ligament: A case series

ePoster - epEKA-49

Topic: HTO

Veravalli K., Mofidi A.
Morriston Hospital, Trauma and Orthopaedics, Swansea, United Kingdom

Treatment of Neglected Patellar Tendon ruptures can be challenging to both the patient and the surgeon. Several techniques have been described to repair and augment the ruptured tendon ranging from autologous harvested tendon to synthetic ligaments.
There are some individual case reports demonstrating good outcome using LARS ligament for repair of Neglected Patellar Tendon. We present a case series of seven tendons in six patients treated with LARS ligament with very good results and minimal complications.
We demonstrate that LARS ligament is a viable alternative to autologous harvested tendons in repair of neglected patellar tendon in both fit and well patients as well as patients with comorbidities.
Prospective and retrospective data was collected on six patients ( seven tendons) who underwent surgical repair of neglected patellar tendon rupture. Data included comorbidities, date of original injury, pre and post op photographs(in some patients) and ROM.
There were six patients, predominantly men in active jobs except for one who is retired. One patient is diabetic with renal failure and another patient was on steroids. Period of delay from injury to surgery varied from 6 weeks and 6 months. One patient had previous surgery. All patients underwent surgery by the same surgeon using LARS ligament for augmentation following repair of the tendon. All patients recovered well with only one wound infection treated successfully with antibiotics. All patients regained full range of movements except for one patient who had ten degrees of extension lag.
Our results show LARS ligament augmentation is a viable option for treatment of neglected patellar tendon ruptures.
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