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New technique for knee flexion contracture with patella infera using patellar tendon reconstruction combined with anterior capsular shift: a case report
Authors:Shinro Takai  Naoya Shimazaki  Nobuyuki Yoshino  Nobuyoshi Watanabe  Noriki Nakachi  Makoto Kobayashi  Takashi Matsusita
Affiliation:(1) Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi-ku Tokyo, 173-8605, Japan;(2) Department of Orthopaedic Surgery, Kyoto Kujo Hospital, Karahashi Rajomoncho 10, Minami-ku, Kyoto 601-8453, Japan
Abstract:A 24-year-old male presented with an open fracture of the left patella (Gustilo–Anderson grade III-A) and fracture of the left femoral lateral condyle, and subsequent patella alta suggesting rupture of the left patellar tendon. This initial injury was treated 6 months earlier in another hospital. He was referred because of limited knee motion and radiographs showed severe patella infera. By means of a combination of a contralateral BTB graft and soft tissue repair named anterior capsular shift, the knee contracture with patella infera was resolved successfully. All devices used in this article were approved by Organization of the Ministry of Health, Labourand Welfare in Japan.
Keywords:Patella infera  Patellar tendon  Capsular shift
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