The hemisoleus rotational flap provides a novel superior autograft reconstructive option for the treatment of chronic extensor mechanism disruption

• Published in: Arthroplasty today Vol. 2; no. 2; pp. 49 - 52
• Main Authors: Auregan, Jean-Charles, MD, Lin, James D., MD, MS, Lombardi, Joseph M., MD, Jang, Eugene, MD, Macaulay, William, MD, Rosenwasser, Melvin P., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-06-2016; Elsevier
• Subjects: Autograft; Case Report; Extensor mechanism; Orthopedics; Salvage; Total knee arthroplasty; Extensor mechanism; Total knee arthroplasty; Autograft; Salvage
• ISSN: 2352-3441; 2352-3441
• DOI: 10.1016/j.artd.2016.01.001

Abstract Chronic disruption of the extensor mechanism is a devastating problem after total knee arthroplasty. Quadriceps tendon ruptures occur at an estimated 0.1% prevalence in the setting of total knee arthroplasty. Complete tears of the quadriceps tendon generally have poor results and high rates of rerupture. We present a case of a quadriceps tendon rupture after total knee arthroplasty which reruptured after initial direct repair. The patient presented to us with a chronically retracted rerupture and was subsequently reconstructed successfully with a novel extended medial gastrocnemius-soleus-calcaneus local rotational pedicle flap.