Open Access
CC BY-NC-ND 4.0 · Z Orthop Unfall 2025; 163(03): 269-275
DOI: 10.1055/a-2420-8106
Case Report

Traumatic Complete Loss of Knee Extensor Mechanism and Its Reconstruction With a Fresh-frozen Patellar Allograft With Patellar and Quadriceps Tendon

Article in several languages: English | deutsch

Authors

  • Johannes Weber

    1   Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
  • Maximilian Kerschbaum

    1   Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
  • Silvan Klein

    2   Abteilung für Plastische, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
  • Florian Hitzenbichler

    3   Krankenhaushygiene und Infektiologie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
  • Markus Rupp

    1   Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)
  • Volker Alt

    1   Unfallchirurgie, Universitätsklinikum Regensburg, Regensburg, Deutschland (Ringgold ID: RIN39070)

Abstract

We report on an 18-year-old female who sustained complete loss of her knee extensor mechanism (patella, quadriceps and patellar tendon) due to a motorbike injury with severe soft tissue loss of the ventral aspect of the knee and subsequent infection. After infection control and successful latissimus dorsi free flap surgery, reconstruction of the knee extensor mechanism was performed using a fresh frozen extensor mechanism allograft with patella, quadriceps- and patellar tendon and integrated tibia tuberosity fragment. After a follow-up of 18 months, there was infection free integration of the allograft with a range of motion 0–0–90° (extension/flexion) and pain free gait.



Publication History

Received: 13 November 2023

Accepted after revision: 28 August 2024

Article published online:
07 November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany