Can Metal Buttons from Patellar Ligament Surgery Be Reused?

Metal button for the patellar ligament?

Hello, doctor! I would like to ask about my husband.
Last year, he had a rupture of the patellar ligament and underwent surgery where two metal buttons were implanted.
Recently, it seems that the ligament has ruptured again, and he is scheduled for a second surgery.
Can the two metal buttons originally placed on the patella be reused during the second surgery?

Yang Tai Tai, 30~39 year old female. Ask Date: 2021/11/15

Dr. Chen Bochen reply Orthopedics

Hello, generally, these medical devices are not meant for reuse.
However, sometimes if the surgeon determines that the situation allows for it, there may be a possibility of reuse.

Reply Date: 2021/11/15

More Info

When it comes to the reuse of metal buttons or anchors from a previous patellar ligament surgery, there are several important factors to consider. First and foremost, the integrity of the metal buttons must be assessed. If the buttons are still intact and have not been damaged or corroded, they may be considered for reuse. However, this decision ultimately lies with the surgeon, who will evaluate the specific circumstances of the case.

Metal buttons, often made from titanium or other biocompatible materials, are designed to be durable and resistant to bodily fluids. They are typically used in orthopedic surgeries to secure ligaments or tendons to bone. If your husband’s previous surgery involved the placement of these buttons and they are still securely anchored in place, the surgeon may decide that they can be reused, especially if the surrounding tissue is healthy and there are no signs of infection or complications.

However, if there is any doubt regarding the condition of the buttons, or if there has been any significant trauma or stress to the area since the last surgery, the surgeon may opt to replace them with new ones. This is particularly true if there is any concern about the structural integrity of the buttons or if the surgical site has changed due to the new injury.

In addition to the physical condition of the buttons, the surgeon will also consider the overall surgical plan. If the new surgery involves a different approach or technique, it may be more beneficial to use new hardware that is specifically designed for the current procedure. The surgeon will also take into account the healing process and whether the existing buttons would interfere with the new surgical intervention.

Furthermore, it is essential to communicate openly with the surgeon about any concerns regarding the previous surgery and the current condition of the ligament. If there are psychological factors at play, such as anxiety about the surgery or concerns about the previous outcome, discussing these with the healthcare team can help address any fears and ensure that the patient feels comfortable moving forward.

In summary, while it is possible for metal buttons from a previous patellar ligament surgery to be reused, this decision depends on several factors, including the condition of the buttons, the specifics of the new surgery, and the surgeon's clinical judgment. It is crucial to have a thorough discussion with the orthopedic surgeon to understand the best course of action for your husband’s situation.

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Can Metal Buttons from Patellar Ligament Surgery Be Reused?

Hello, doctor! I would like to ask about my husband. Last year, he had a rupture of the patellar ligament and underwent surgery where two metal buttons were implanted. Recently, it seems that the ligament has ruptured again after a year, and he is scheduled for a second surgery. ...

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