Patellar tendon reconstruction using an extended gastrocnemius flap following cryogenic injury to the knee

Raymond H. Kim; Amanda H. Randolph; Conrad J. Tirre; Matthew Morrey; Jason M. Jennings

doi:10.1016/j.knee.2017.01.012

Patellar tendon reconstruction using an extended gastrocnemius flap following cryogenic injury to the knee

Raymond H. Kim, Amanda H. Randolph, Conrad J. Tirre, Matthew Morrey, Jason M. Jennings

Orthopaedics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.

Original language	English (US)
Pages (from-to)	686-691
Number of pages	6
Journal	Knee
Volume	24
Issue number	3
DOIs	https://doi.org/10.1016/j.knee.2017.01.012
State	Published - Jun 1 2017

Keywords

Cryogenic injury
Extensor mechanism
Necrosis

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.knee.2017.01.012

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abstract = "Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.",

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AU - Kim, Raymond H.

AU - Randolph, Amanda H.

AU - Tirre, Conrad J.

AU - Morrey, Matthew

AU - Jennings, Jason M.

PY - 2017/6/1

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N2 - Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.

AB - Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a cold thermal injury after an anterior cruciate ligament reconstruction. We treated the patient with a single stage surgical procedure combining patellar tendon reconstruction and soft tissue coverage utilizing the superficial portion of the patient's vascularized Achilles tendon attached to a medial gastrocnemius flap. The patient returned to unrestricted activities and has demonstrated this through a five year follow-up.

KW - Cryogenic injury

KW - Extensor mechanism

KW - Necrosis

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