000			03508nam a22004457a 4500
008			232233s20232023 xxu||||| |||| 00| 0 eng d
022			_a2666-061X
024			_a10.1016/j.asmr.2023.100796 [doi]
024			_aPMC10518350 [pmc]
024			_aS2666-061X(23)00147-5 [pii]
040			_aOvid MEDLINE(R)
099			_a37753187
245			_aAdjustable Cortical Fixation Repair Is a Safe and Effective Technique for Quadriceps Tendon Rupture.
251			_aArthroscopy, Sports Medicine, and Rehabilitation. 5(5):100796, 2023 Oct.
252			_aArthrosc Sports Med Rehabil. 5(5):100796, 2023 Oct.
253			_aArthroscopy, sports medicine, and rehabilitation
260			_c2023
260			_fFY2024
260			_p2023 Oct
265			_sepublish
265			_tPUBMED-not-MEDLINE
266			_d2023-11-22
520			_aConclusions: In this study, adjustable cortical fixation was a safe and effective surgical technique for quadriceps tendon repair, with adequate restoration of quadriceps function and a low rate of adverse events at 2 years postoperatively.
520			_aLevel of Evidence: Level IV, therapeutic case series. Copyright © 2023 The Authors.
520			_aMethods: A retrospective chart review identified patients who underwent quadriceps tendon repair using adjustable cortical fixation devices between January 2017 and March 2020. Patients with a partial tendon rupture were excluded. Demographic and injury-specific variables were gathered preoperatively and postoperatively from the electronic medical record and patient-reported outcomes (Lysholm Knee Questionnaire, Lower Extremity Functional Scale, and SF-12) were collected via telephone at a minimum of 2 years postoperatively.
520			_aPurpose: To report the clinical outcomes of quadriceps tendon repair using adjustable cortical fixation devices at a minimum 2-year follow-up.
520			_aResults: Fourteen quadriceps tendon repairs were included in a total of 13 patients. The average time to follow-up was 3.5 +/- 1.2 years with a range of 1.9 to 5.7 years. The mean age of this cohort was 55.7 +/- 11.6 years, and the mean body mass index was 32.9 +/- 6.0. Ten injuries (71.4%) were sustained by mechanical fall, 2 patients (14.3%) suffered a direct blow to the knee, and 2 patients (14.3%) reported a noncontact injury mechanism. Thirteen quadriceps ruptures (13/14, 92.9%) underwent surgery within 10 days of their injury. One knee (7.1%) had a postoperative extensor lag of 5degree, whereas another knee (7.1%) required a reoperation for manipulation under anesthesia and arthroscopic lysis of adhesions at 3 months' postoperatively. None of the included patients (0.0%) developed a tendon re-rupture, venous thromboembolism, delayed wound healing, surgical-site infection, neuropraxia or nerve injury, hardware irritation, patella fracture, or heterotopic ossification.
546			_aEnglish
650			_zAutomated
651			_aMedStar Union Memorial Hospital
656			_aOrthopaedic Surgery
656			_aOrthopaedic Surgery Residency
657			_aJournal Article
700			_aGould, Heath _bMUMH _cOrthopaedic Surgery Residency _dMD
700			_aMarchant, Milford H Jr _bMUMH
700			_aSequeira, Sean _bMUMH _cOrthopaedic Surgery Residency _dMD
790			_aGould HP, Gosnell GG, Bano JM, Rate WR 4th, Sequeira SB, Marchant MH Jr
856			_uhttps://dx.doi.org/10.1016/j.asmr.2023.100796 _zhttps://dx.doi.org/10.1016/j.asmr.2023.100796
942			_cART _bArticle
999			_c13569 _d13569