Extensor Apparatus Reconstruction Using Prolene Mesh Tube and Medial Gastrocnemius Flap Following Proximal Tibial Endoprosthetic Reconstruction

This article describes our unique surgical technique of extensor mechanism reconstruction in which we are using a cylindrical tube of prolene mesh attached to the patellar tendon and medial patellar retinaculum. This tube is then passed through a slot in the prosthesis and reattached to itself under adequate tension. We believe that our operative technique provides a secure fixation as the area of interface between the mesh and extensor apparatus (medial patellar retinaculum and patellar tendon) is larger compared with other techniques.
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Tips and Pearls Source Type: research