Patella infera or patellar tendon adherence after high tibial osteotomy

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dc.authorscopusid37095337000
dc.authorscopusid6507835988
dc.authorscopusid7004614723
dc.authorscopusid57197161527
dc.authorscopusid14622670700
dc.authorwosiddervisoglu, sergulen/AAU-2017-2020
dc.authorwosidYalcin, Mehmet Burak/AAY-5740-2020
dc.contributor.authorGökay, Nevzat Selim
dc.contributor.authorErginer, Rifat
dc.contributor.authorDervişoğlu, Sergülen
dc.contributor.authorYalçın, Mehmet Burak
dc.contributor.authorGökçe, Alper
dc.date.accessioned2022-05-11T14:36:08Z
dc.date.available2022-05-11T14:36:08Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dal
dc.description.abstractAlterations in patellar height after high tibial osteotomy are found in many instances. Fibrosis of the tendon is implicated as the cause of the mechanism of patella lowering. This study aimed to determine the relationship between the position of the patella and the histopathological findings at the patellar tendon after high tibial osteotomy. Nineteen knees in seventeen patients who were consecutively hospitalised for implant extraction are studied. All of the patients had previously undergone closing wedge osteotomy by the same surgeon at the same department. The median follow-up time is 15 months (range: 11-35). Five patients who all underwent high tibial osteotomy at the same time are also included in the study as a control group for histopathological evaluation. All of the patients are evaluated radiologically, patellar tendon biopsies are taken during the operation, and histopathological analyses are performed. The shortening of the patellar tendon is statistically significant (P < 0.05). The severity of the vascularisation, inflammation, and fibrotic change observed at the distal part of the tendon is evident. However, there is no statistically significant correlation between these findings and the degree of shortening. The shortening of the tendon occurs as a result of adherence in the distal part of the tendon. It would appear that it is this shortening that causes the difficulties encountered during arthroplasty surgery of osteotomy patients, and not patella infera. Retrospective study, Level II.
dc.identifier.doi10.1007/s00167-012-2293-y
dc.identifier.endpage1598
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue7en_US
dc.identifier.pmid23135414
dc.identifier.scopus2-s2.0-84902809785
dc.identifier.scopusqualityQ1
dc.identifier.startpage1591
dc.identifier.urihttps://doi.org/10.1007/s00167-012-2293-y
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8384
dc.identifier.volume22
dc.identifier.wosWOS:000338200800017
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGökçe, Alper
dc.institutionauthorGökay, Nevzat Selim
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPatella infera
dc.subjectHigh tibial osteotomy
dc.subjectClosing wedge osteotomy
dc.subjectPatellar tendon
dc.subjectTotal Knee Arthroplasty
dc.subjectInternal-Fixation
dc.subjectHeight
dc.titlePatella infera or patellar tendon adherence after high tibial osteotomy
dc.typeArticle

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