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Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report

BACKGROUND: While commonly utilized to fix tissue and muscles to megaprostheses to restore function and stability after tumor surgery, an attachment tube was used as a synthetic reconstruction of the knee joint’s extension mechanism after nonunion of Felix IV C fracture. Fixation of the tibial fragm...

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Autores principales: Richter, Alena, Windhagen, Henning, Ettinger, Max
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8539772/
https://www.ncbi.nlm.nih.gov/pubmed/34686222
http://dx.doi.org/10.1186/s13256-021-03095-8
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author Richter, Alena
Windhagen, Henning
Ettinger, Max
author_facet Richter, Alena
Windhagen, Henning
Ettinger, Max
author_sort Richter, Alena
collection PubMed
description BACKGROUND: While commonly utilized to fix tissue and muscles to megaprostheses to restore function and stability after tumor surgery, an attachment tube was used as a synthetic reconstruction of the knee joint’s extension mechanism after nonunion of Felix IV C fracture. Fixation of the tibial fragment, and therefore its osteointegration, is complicated after total knee arthroplasty, causing tibial tubercle dislocation. CASE PRESENTATION: A 61-year-old German patient presented to our clinic with Felix IV C fracture, persistent knee pain, and reduced knee extension strength. In this special case, mobilization and reattachment of the tibial tubercle was not possible because of necrosis and underlying tibial component. Therefore, we covered the defect with cement and used an polyethylene terephthalate tube for knee extension system augmentation. Follow-up after 10 months demonstrated a good clinical result. CONCLUSION: The management of Felix IV C fractures is complicated by the underlying prosthesis resulting in redislocation of the fragment and persistent symptoms of pain and reduced functionality. We here present a new surgical technique to treat periprosthetic fracture complicated by tibial tubercle dislocation. Good clinical and radiologic results on follow-up after 10 months indicate the use of attachment tubes as a suitable surgical technique to restore knee joint extension and to reduce knee pain after dislocated Felix IV C fracture.
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spelling pubmed-85397722021-10-25 Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report Richter, Alena Windhagen, Henning Ettinger, Max J Med Case Rep Case Report BACKGROUND: While commonly utilized to fix tissue and muscles to megaprostheses to restore function and stability after tumor surgery, an attachment tube was used as a synthetic reconstruction of the knee joint’s extension mechanism after nonunion of Felix IV C fracture. Fixation of the tibial fragment, and therefore its osteointegration, is complicated after total knee arthroplasty, causing tibial tubercle dislocation. CASE PRESENTATION: A 61-year-old German patient presented to our clinic with Felix IV C fracture, persistent knee pain, and reduced knee extension strength. In this special case, mobilization and reattachment of the tibial tubercle was not possible because of necrosis and underlying tibial component. Therefore, we covered the defect with cement and used an polyethylene terephthalate tube for knee extension system augmentation. Follow-up after 10 months demonstrated a good clinical result. CONCLUSION: The management of Felix IV C fractures is complicated by the underlying prosthesis resulting in redislocation of the fragment and persistent symptoms of pain and reduced functionality. We here present a new surgical technique to treat periprosthetic fracture complicated by tibial tubercle dislocation. Good clinical and radiologic results on follow-up after 10 months indicate the use of attachment tubes as a suitable surgical technique to restore knee joint extension and to reduce knee pain after dislocated Felix IV C fracture. BioMed Central 2021-10-22 /pmc/articles/PMC8539772/ /pubmed/34686222 http://dx.doi.org/10.1186/s13256-021-03095-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Richter, Alena
Windhagen, Henning
Ettinger, Max
Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title_full Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title_fullStr Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title_full_unstemmed Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title_short Implantation of an attachment tube preserves knee extension after nonunion of Felix IV fracture: a case report
title_sort implantation of an attachment tube preserves knee extension after nonunion of felix iv fracture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8539772/
https://www.ncbi.nlm.nih.gov/pubmed/34686222
http://dx.doi.org/10.1186/s13256-021-03095-8
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