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Extensor Mechanism Reconstruction with Use of Marlex Mesh by Matthew P. Abdel; Mark W. Pagnano; Kevin I. Perry; Arlen D. Hanssen is a Medicine article available to read on EtoBox.

What is Extensor Mechanism Reconstruction with Use of Marlex Mesh about?

## Background: Marlex mesh reconstruction of the extensor mechanism via a stepwise surgical approach is a viable option to treat disruption of the extensor mechanism after total knee arthroplasty (TKA). ## Description: Extensor mechanism reconstruction with mesh involves a stepwise surgical approach with a particular monofilament polypropylene mesh (Marlex; C.R. Bard). Prior to incision, the 10 × 14-in (25 × 36-cm) sheet of Marlex mesh is rolled onto itself 8 to 10 times and sewn together. If the tibia is not being revised, a burr is utilized to create a trough in the tibia. Five centimeters of the tapered portion of the mesh are predipped in bone cement. The remaining cement is inserted into the trough. The tapered portion of the mesh is inserted into the tibial trough, ensuring that the mesh is fully seated. After the cement has cured, a lag screw is placed across the mesh and cement and into host bone. If the tibia is being revised at the time of the Marlex mesh reconstruction, the 5 cm of predipped mesh is placed anteriorly in the medullary canal in line with the tibial crest. The remaining procedure is similar regardless of whether the components are revised. At the level of t

Who reads Extensor Mechanism Reconstruction with Use of Marlex Mesh?

Author

Matthew P. Abdel; Mark W. Pagnano; Kevin I. Perry; Arlen D. Hanssen

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2019

Language

EN

Field

Medicine (Health Sciences)