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Tibial tuberosity avulsion-fracture associated with complete distal rupture of the patellar tendon:A case report and review of literature

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World Journal of Orthopedics 2020年第12期11卷 615-626页

作者： Rodolfo Morales-Avalos Luis E Martinez-Manautou Santiago de la Garza-Castro Alejandra J Pozos-Garza Gregorio A Villarreal-Villareal Victor M Pena-Martinez felix vilchez-cavazos Department of Orthopedic Surgery and Traumatology University Hospital"Dr.JoseEleuterio Gonzalez"Universidad Autonoma de Nuevo LeonMonterrey 66434Nuevo LeonMexico Department of Orthopaedics and Traumatology University Hospital“Dr.JoseEleuterio Gonzalez”Universidad Autónoma de Nuevo LeonMonterrey 66460Nuevo LeonMexico

BACKGROUND Few cases of avulsion fractures of the tibial tuberosity with simultaneous rupture of the patellar tendon have been reported in the ***,its mechanism and incidence have not been determined *** type of fracture is considered a serious injury that requires prompt diagnosis and early surgical *** is no therapeutic algorithm or standard method of treatment due to the infrequency of the *** this case report,we conducted an exhaustive review and synthesis of the existing literature including all previously reported *** SUMMARY We present a 16-year-old male soccer player with a case of a tibial tuberosity fracture with distal avulsion of the patellar tendon 5 d prior to surgical *** patient presented with a loss of the extensor mechanism of the knee,edema,the inability to walk,and pain.X-rays showed a high patella and a 180-degree avulsion of the tibial *** diagnosis was confirmed by magnetic resonance imaging and computed *** patient underwent open reduction and internal fixation of the fracture with a cannulated screw and washer as well as patellar tendon repair with two metallic *** rehabilitation protocol consisted of initial immobilization in extension followed by passive mobility and muscle strengthening *** patient demonstrated excellent postoperative outcomes and returned to regular activity without *** This case presentation and literature review comprise the most relevant clinical,radiographic,and treatment details described in the international literature to date,providing the reader with an overview of this rare condition.

关键词： Avulsion Case report Patellar tendon Rupture Simultaneous Tibial tuberosity

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