Abstract
Preoperative planning is a fundamental element in total knee arthroplasty (TKA). A previous surgery that must be recognized and identified preoperatively is the Hauser procedure, a posteromedialization of the tibial tubercle for recurrent patellar instability. Here, we describe 2 case reports in patients with previous Hauser surgeries. The first TKA surgery was complicated from a standard medial peripatellar approach resulting in complete transection of the patellar tendon during standard arthrotomy. The tendon was repaired, and the arthroplasty was aborted. For the second case, correct preoperative identification of the Hauser procedure was performed. The second TKA surgery was performed using a lateral peripatellar arthrotomy with excellent exposure, resulting in a successful operation. Here, we highlight the importance of an accurate history, physical and radiographic examination, and the recommendation of an alternative TKA approach to help avoid the serious intraoperative complication of a patellar tendon laceration.
| Original language | English (US) |
|---|---|
| Journal | Arthroplasty Today |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- Extensor mechanism disruption
- Hauser procedure
- Lateral parapatellar approach
- Patellar tendon disruption
- Total knee arthroplasty
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Total knee arthroplasty after Hauser procedure : beware of the patellar tendon! / Lum, Zachary C.; Giordani, Mauro; Meehan, John.
In: Arthroplasty Today, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Total knee arthroplasty after Hauser procedure
T2 - beware of the patellar tendon!
AU - Lum, Zachary C.
AU - Giordani, Mauro
AU - Meehan, John
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Preoperative planning is a fundamental element in total knee arthroplasty (TKA). A previous surgery that must be recognized and identified preoperatively is the Hauser procedure, a posteromedialization of the tibial tubercle for recurrent patellar instability. Here, we describe 2 case reports in patients with previous Hauser surgeries. The first TKA surgery was complicated from a standard medial peripatellar approach resulting in complete transection of the patellar tendon during standard arthrotomy. The tendon was repaired, and the arthroplasty was aborted. For the second case, correct preoperative identification of the Hauser procedure was performed. The second TKA surgery was performed using a lateral peripatellar arthrotomy with excellent exposure, resulting in a successful operation. Here, we highlight the importance of an accurate history, physical and radiographic examination, and the recommendation of an alternative TKA approach to help avoid the serious intraoperative complication of a patellar tendon laceration.
AB - Preoperative planning is a fundamental element in total knee arthroplasty (TKA). A previous surgery that must be recognized and identified preoperatively is the Hauser procedure, a posteromedialization of the tibial tubercle for recurrent patellar instability. Here, we describe 2 case reports in patients with previous Hauser surgeries. The first TKA surgery was complicated from a standard medial peripatellar approach resulting in complete transection of the patellar tendon during standard arthrotomy. The tendon was repaired, and the arthroplasty was aborted. For the second case, correct preoperative identification of the Hauser procedure was performed. The second TKA surgery was performed using a lateral peripatellar arthrotomy with excellent exposure, resulting in a successful operation. Here, we highlight the importance of an accurate history, physical and radiographic examination, and the recommendation of an alternative TKA approach to help avoid the serious intraoperative complication of a patellar tendon laceration.
KW - Extensor mechanism disruption
KW - Hauser procedure
KW - Lateral parapatellar approach
KW - Patellar tendon disruption
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85055425579&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055425579&partnerID=8YFLogxK
U2 - 10.1016/j.artd.2018.07.004
DO - 10.1016/j.artd.2018.07.004
M3 - Article
JO - Arthroplasty Today
JF - Arthroplasty Today
SN - 2352-3441
ER -