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Knee

Retrieval of a well-functioning extensor mechanism allograft from a total knee arthroplasty

CLINICAL AND HISTOLOGICAL FINDINGS



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Abstract

We present the histological findings of an extensor mechanism allograft which was used in a total knee arthroplasty two years after implantation. Analysis of the graft was undertaken at four distinct anatomical levels and it was found to be incorporated into host tissue at each level. A wedge of fibrinoid necrosis, probably related to impingement of the graft on the tibial polyethylene insert, was seen. Impingement may play a role in the injury and necrosis of an allograft and may be one mode of failure in an extensor mechanism allograft.


Correspondence should be sent to Mr R. S. J. Burnett at Department of Orthopedic Surgery, Washington University School of Medicine, Campus Box 8233, 660 South Euclid Avenue, St Louis, Missouri 63110, USA.

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