TREATMENT OF QUADRICEPS TENDON RUPTURE IN HEMODIALYSIS PATIENTS: A 2020 UPDATE.
Luis Marcelo de Azevedo MaltaAlair Augusto Sarmet Moreira Damas Dos SantosMarcio Carpi MaltaLeonardo Martins MachadoJocemir Ronaldo LugonPublished in: Acta ortopedica brasileira (2022)
Quadriceps tendon tears are uncommon injuries often associated with chronic diseases, including end-stage renal disease (ESRD). The role of secondary hyperparathyroidism as a predisposing factor for tendon tears in this group of patients is well documented, and the weakening of the tendon-bone junction is part of this context. The treatment of choice for quadriceps tendon ruptures in patients with ESRD is surgery, which should be performed as soon as possible. There are several surgical techniques to be used, but the lack of comparative studies does not allow us to conclude which one is the best option. More recent publications have preferred the association of techniques, with emphasis on the use of autologous tendon grafts as a reinforcement tool, which is the author's procedure of choice. Recent studies reported the use of biological agents to stimulate healing and allografts, but the information seems preliminary to be routinely recommended. Level of evidence II; Obsevation of therapeutic studies.
Keyphrases
- anterior cruciate ligament reconstruction
- end stage renal disease
- rotator cuff
- chronic kidney disease
- peritoneal dialysis
- minimally invasive
- case control
- ejection fraction
- newly diagnosed
- stem cells
- combination therapy
- prognostic factors
- coronary artery bypass
- mesenchymal stem cells
- bone marrow
- bone mineral density
- cell therapy
- health information