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      Management of Bilateral Quadriceps Tendon Ruptures Post Total Knee Arthroplasty by Kesler Technique Using Fiber Tape.

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          Abstract

          Total knee arthroplasty is an effective way to manage osteoarthritis patients surgically. However, patients may encounter post-surgical complications, such as quadriceps rupture in rare instances, in addition to surgical complications. In our clinical practice, we encountered a 67-year-old Saudi male patient with a rare bilateral quadriceps rupture two weeks post-total knee arthroplasty. The cause of the bilateral rupture was a history of falls in both knees. The patient was reported to our clinic with clinical features like pain in the knee joint, immobility, and bilateral swelling in the knees. The X-ray did not show any periprosthetic fracture, but an ultrasound of the anterior thigh revealed a complete cut of the quadriceps tendon on both sides. The repair of the bilateral quadriceps tendon was done by direct repair using the Kessler technique and was reinforced with fiber tape. Following knee immobilization for six weeks, the patient began intensive physical therapy management to decrease pain, enhance muscle strength, and increase range of motion. After rehabilitation, the patient regained a complete range of motion in the knee and improved functionality, and he could walk independently without crutches.

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          Author and article information

          Journal
          Healthcare (Basel)
          Healthcare (Basel, Switzerland)
          MDPI AG
          2227-9032
          2227-9032
          Feb 21 2023
          : 11
          : 5
          Affiliations
          [1 ] Consultant Orthopedics and Arthroplasty, Saudi German Hospital-Aseer, Abha 61411, Saudi Arabia.
          [2 ] Department of Orthopedics, Aseer Central Hospital, Abha 61411, Saudi Arabia.
          [3 ] Department of Medical Rehabilitation Science, College of Applied Medical Sciences, King Khalid University, Abha 61421, Saudi Arabia.
          Article
          healthcare11050631
          10.3390/healthcare11050631
          10000759
          36900636
          7455f21e-180a-4fac-ba8e-b31337083fd1
          History

          graft,total knee arthroplasty,surgery,quadriceps tendon ruptures,fiber tape,Kesler technique

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