Abstract
Chronic patellar tendon rupture is a rare disabling injury that is technically difficult to repair. Many different surgical methods have been reported for the reconstruction of chronic patellar tendon ruptures. We are reporting the use of contralateral bone-tendon-bone (BTB) autograft for chronic patellar tendon rupture reconstruction followed by double-wire loop reinforcement and without postoperative immobilization. One year after the operation, our patient had full knee extension and up to 130° of flexion. He had good quadriceps strength, and isokinetic muscle testing showed no deficit comparing to his right leg. Patient returned to playing basketball in his spare time, without having any limitation.
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References
Burks RT, Edelson RH (1994) Allograft reconstruction of the patellar ligament. J Bone Joint Surg 76A:1077–1079
Casey MT, Tietjens BR (2001) Neglected ruptures of the patellar tendon. A case series of four patients. Am J Sports Med 29:457–460
Chagar B, Boussouga M, Lazrak KH, Taobane H (2003) Neglected spontaneous bilateral rupture of the patellar tendon: a case report. Rev Chir Orthop Reparatrice Appar Mot 89:733–737
Crossett LS, Sinha RK, Sechriest VF, Rubash HE (2002) Allograft following total knee arthroplasty. J Bone Joint Surg 84A:1354–1361
Deyour H, Denjean S, Neyret Ph (1992) Traitement des ruptures anciennes ou iteratives du ligament patellaire par auto-greffe controlaterale. Rev Chir Orthop 78:587–562
Ecker ML, Lotke PA, Glazer RM (1979) Late reconstruction of the patellar tendon. J Bone Joint Surg 61A:884–886
Evans PD, Pritchard GA, Jenkins DHR (1987) Carbon fibre used in the late reconstruction of rupture of the extensor mechanism of the knee. Injury 18:57–60
Falconiero RP, Pallis MP (1996) Chronic rupture of a patellar tendon: a technique for reconstruction with Achilles allograft. Arthroscopy 12:623–626
Gallie WE, LeMesurier AB (1927) The late repair of fractures of the patella nad rupture of the ligamentum patella and quadriceps tendon. J Bone Joint Surg 9:47
Greis PE, Holstrom MC, Lahav A (2005) Surgical treatment options for patella tendon rupture. Part I Acute. Orthopedics 28:672–679
Greis PE, Lahav A, Holstrom MC (2005) Surgical treatment options for patella tendon rupture. Part II Chronic. Orthopedics 28:765–769
Isiklar ZU, Varner KE, Lindsey RW, Bocell JR, Lintner DM (1996) Late reconstruction of patellar ligament ruptures using Ilizarov external fixation. Clin Orthop Relat Res 322:174–178
Kelikian H, Riashi E, Gleason J (1957) Restoration of quadriceps function in neglected tear of the patellar tendon. Surg Gynecol Obstet 104:200–204
Lanzetta A (1962) Ricostruziono precoci e tardive nell rotture del tendine rotuleo. Arch Ortop 75:606–613
Levin PD (1976) Reconstruction of the patellar tendon using a Dacron graft: a case report. Clin Orthop 118:70–72
Mandelbaum BR, Bartolozzi A, Carney B (1988) A systematic approach to reconstruction of neglected tears of the patellar tendon: a case report. Clin Orthop 235:268–271
Motioc N, Szeplaki A, Enceanu R (1985) Neglected section of the kneecap tendon solved with arterial dacron graft. Chirurgia 34:247–249
McNally PD, Marcelli EA (1998) Achilles allograft reconstruction of a chronic patellar tendon rupture: a case repor. Arthroscopy 14:340–344
Nsouli AZ, Nsouli TA, Haidar R (1991) Late reconstruction of the patellar tendon: case report with a new method of repair. J Trauma 31:1319–1321
Peyers AB, Makley JT (1996) Patelar tendon reconstruction augmented by free autograft of the biceps tendon attached to the fibular head. Orthopedics 19:545.549
Poonnoose PM, Korula RJ, Oommen AT (2005) Chronic rupture extensor apparatus of the knee joint. Med J Malaysia 60:511–513
Petermann J, Ishaque B, Ziring E, Gotzen L (2001) External patellotibial transfixation: indications, operative technique and outcome. Knee 8:111–121
Shepard GJ, Christodoulou L, Hegab AIA (1999) Neglected rupture of the patellar tendon. Arch Orthop Trauma Surg 119:241–242
Siwek CW, Rao JP (1981) Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg 63A:932–937
Shelbourne KD, Urch SE (2000) Primary anterior cruciate ligament reconstruction using the contralateral autogenous patellar tendon. Am J Sports Med 28:651–658
Takebe K, Hirohita K (1985) Old rupture of the patellar tendon. Clin Orthop 196:253–255
Wascher DC, Summa CD (1998) Reconstruction of chronic rupture of the extensor mechanism after patellectomy. Clin Orthop 357:135–140
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Milankov, M.Z., Miljkovic, N. & Stankovic, M. Reconstruction of chronic patellar tendon rupture with contralateral BTB autograft: a case report. Knee Surg Sports Traumatol Arthr 15, 1445–1448 (2007). https://doi.org/10.1007/s00167-007-0365-1
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DOI: https://doi.org/10.1007/s00167-007-0365-1