AUTHOR=Wilson Katherine , Kothwal Rahul , Khan Wasim S. , Williams Rhodri , Morgan-Jones Rhidian 

TITLE=Patella Tendon Injuries Secondary to Cement Spacers Used at First-Stage Revision of Infected Total Knee Replacement

JOURNAL=Frontiers in Surgery

VOLUME=2

YEAR=2015

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2015.00011

DOI=10.3389/fsurg.2015.00011

ISSN=2296-875X

ABSTRACT=<p>We describe a series of three patients who sustained patella tendon injuries in infected total knee arthroplasties following the use of a static cement spacer at first-stage knee revision. The patella tendon injuries resulted in significant compromise to wound healing and knee stability requiring multiple surgeries. The mid-term function was poor with an Oxford score at 24 months ranging from 12 to 20. Based on our experience, we advise caution in the use of static cement spacer blocks. If they are to be used, we recommend that they should be keyed in the bone to prevent patella tendon injuries.</p>