Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report
Background: In Osgood Schlatter Disease, despite being a self-limiting disease during adolescence, various complications of Osgood Schlatter Disease could also present in adulthood. An uncommon injury pattern requires surgical treatment. This study aims to understand the implementation of surgery in...
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Universitas Airlangga
2021-09-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/28000 |
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| author | Shianita Limena Anak Agung Ngurah Ronny Kesuma I Komang Mahendra Laksana |
| author_facet | Shianita Limena Anak Agung Ngurah Ronny Kesuma I Komang Mahendra Laksana |
| author_sort | Shianita Limena |
| collection | DOAJ |
| description | Background: In Osgood Schlatter Disease, despite being a self-limiting disease during adolescence, various complications of Osgood Schlatter Disease could also present in adulthood. An uncommon injury pattern requires surgical treatment. This study aims to understand the implementation of surgery in managing complications case of Osgood Schlatter Disease.
Case Report: We present a rare case of complete patellar tendon rupture and tibial tuberosity avulsion fracture following a low-energy motor vehicle accident landing on his left knee in a 42 years old active male, who later discovered is having a pre-existing Osgood Schlatter Disease. This patient is treated with an open surgery fixating the tibial tuberosity using a single lag screw and eight tension wires, followed by primary repair of the patellar tendon, including its retinaculum.
Discussion: Weakened structure from pre-existing Osgood Schlatter lesion may cause uncommon and profound injury pattern that requires surgical treatment. Conservative treatment no longer has a place in this case. The various surgical treatment methods have been reported; however, surgical modification technique is performed accordingly due to the complicated case presentation.
Conclusion: Surgical treatment is the most suitable treatment option in managing this uncommon injury pattern complication of Osgood Schlatter Disease. |
| format | Article |
| id | doaj-art-221cbb1da63f4e658644c59f9bda9d1d |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-221cbb1da63f4e658644c59f9bda9d1d2025-02-12T07:28:29ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422021-09-01102596310.20473/joints.v10i2.2021.59-6322908Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case ReportShianita Limena0https://orcid.org/0000-0002-4914-3382Anak Agung Ngurah Ronny Kesuma1https://orcid.org/0000-0002-4702-9893I Komang Mahendra Laksana2https://orcid.org/0000-0002-3963-564XDepartment of Orthopaedic and Traumatology, WangayaGeneral Hospital, Denpasar, IndonesiaDepartment of Orthopaedic and Traumatology, WangayaGeneral Hospital, Denpasar, IndonesiaDepartment of Orthopaedic and Traumatology, WangayaGeneral Hospital, Denpasar, IndonesiaBackground: In Osgood Schlatter Disease, despite being a self-limiting disease during adolescence, various complications of Osgood Schlatter Disease could also present in adulthood. An uncommon injury pattern requires surgical treatment. This study aims to understand the implementation of surgery in managing complications case of Osgood Schlatter Disease. Case Report: We present a rare case of complete patellar tendon rupture and tibial tuberosity avulsion fracture following a low-energy motor vehicle accident landing on his left knee in a 42 years old active male, who later discovered is having a pre-existing Osgood Schlatter Disease. This patient is treated with an open surgery fixating the tibial tuberosity using a single lag screw and eight tension wires, followed by primary repair of the patellar tendon, including its retinaculum. Discussion: Weakened structure from pre-existing Osgood Schlatter lesion may cause uncommon and profound injury pattern that requires surgical treatment. Conservative treatment no longer has a place in this case. The various surgical treatment methods have been reported; however, surgical modification technique is performed accordingly due to the complicated case presentation. Conclusion: Surgical treatment is the most suitable treatment option in managing this uncommon injury pattern complication of Osgood Schlatter Disease.https://e-journal.unair.ac.id/JOINTS/article/view/28000patellar tendon rupturetibial tuberosity avulsion fractureosgood schlatter diseasehuman and medicine |
| spellingShingle | Shianita Limena Anak Agung Ngurah Ronny Kesuma I Komang Mahendra Laksana Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report Journal Orthopaedi and Traumatology Surabaya patellar tendon rupture tibial tuberosity avulsion fracture osgood schlatter disease human and medicine |
| title | Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report |
| title_full | Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report |
| title_fullStr | Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report |
| title_full_unstemmed | Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report |
| title_short | Open Surgery for Patellar Tendon Rupture and Tibial Tuberosity Avulsion Fracture in Pre-Existing Osgood Schlatter Lesion: A Case Report |
| title_sort | open surgery for patellar tendon rupture and tibial tuberosity avulsion fracture in pre existing osgood schlatter lesion a case report |
| topic | patellar tendon rupture tibial tuberosity avulsion fracture osgood schlatter disease human and medicine |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/28000 |
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