Skip to main content
Log in

Reconstruction of chronic patellar tendon tear with allograft in a patient with Ehlers-Danlos syndrome

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Failure of repair of the patellar tendon is uncommon. It may occur in association with chronic systemic diseases or after administration of corticosteroid and quinolones. We report the reconstruction of the patellar tendon with allograft, after failed primary repair, of a 23-year-old young with Ehlers-Danlos syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ (1998) Ehlers-Danlos syndromes: revised nosology, Villefranche. Ehlers-Danlos national foundation (USA) and Ehlers-Danlos support group (UK). Am J Med Genet 77:31–37

    Article  CAS  PubMed  Google Scholar 

  2. Burks RT, Edelson RH (1994) Allograft reconstruction of the patellar ligament. A case report. J Bone Joint Surg Am 76:1077–1079

    CAS  PubMed  Google Scholar 

  3. Byers P (1995) Disorders of collagen biosynthesis and structure. In: Scriver C, Beaudet A, Sly W, Valle D (eds) The metabolic basis of inherited disease. McGraw-Hill, New York, pp 4029–4075

    Google Scholar 

  4. Chen CH, Niu CC, Yang WE (1999) Spontaneous bilateral patellar tendon rupture in primary hyperparathyroidism. Orthopaedics 22:1177–1179

    CAS  Google Scholar 

  5. Clark SC, Jones MW, Choudhury RR, Smith E (1995) Bilateral patellar tendon rupture secondary to repeated steroid injections. J Accid Emerg Med 12:300–301

    CAS  PubMed  Google Scholar 

  6. Cushing MV, Lundy DW, Keating JG, Ogden JA (1999) Patellar ligament reconstruction using allograft patellar ligament: a case report. Am J Orthop 28:263–266

    CAS  PubMed  Google Scholar 

  7. Dabbas N, Saker R, Blakeley C (2008) Multiple spontaneous dislocations in a patient with Ehlers-Danlos syndrome. Emerg Med J 25:175–176

    Article  CAS  PubMed  Google Scholar 

  8. Emerson RH, Head WC, Malinin TI (1990) Reconstruction of patellar tendon rupture after total knee arthroplasty with an extensor mechanism allograft. Clin Orthop Relat Res 260:154–161

    PubMed  Google Scholar 

  9. Falconiero RP, Pallis MP (1996) Chronic rupture of a patellar tendon: a technique for reconstruction with Achilles allograft. Arthroscopy 12:623–626

    Article  CAS  PubMed  Google Scholar 

  10. Frankl U, Wasilewski SA, Healy WL (1990) Avulsion fracture of the tibial tubercle with avulsion of the patellar ligament. Report of two cases. J Bone Joint Surg Am 72-A:1411–1413

    Google Scholar 

  11. Kricun R, Kricun ME, Arangio GA, Salzman GS, Berman AT (1980) Patellar tendon rupture with underlying systemic disease. AJR Am J Roentgenol 135:803–807

    CAS  PubMed  Google Scholar 

  12. Leopardi P, di Vico G, Rosa D, Cigala F, Maffulli N (2006) Reconstruction of a chronic quadriceps tendon tear in a body builder. Knee Surg Sports Traumatol Arthrosc 14:1007–1011

    Article  PubMed  Google Scholar 

  13. Levin PD (1976) Reconstruction of the patellar tendon using a Dacron graft. A case report. Clin Orthop Relat Res 118:70–72

    PubMed  Google Scholar 

  14. Milankov MZ, Miljkovic N, Stankovic M (2007) Reconstruction of chronic patellar tendon rupture with contralateral BTB autograft: a case report. Knee Surg Sports Traumatol Arthrosc 15:1445–1448

    Article  PubMed  Google Scholar 

  15. Maffulli N, Wong J (2003) Rupture of the Achilles and patellar tendons. Clin Sports Med 22:761–776

    Article  PubMed  Google Scholar 

  16. McKusick VA (1993) The Ehlers-Danlos Syndromes. In: Beighton P (ed) Heritable disorders of connective tissue. Mosby, St Louis, pp 189–251

    Google Scholar 

  17. McNally PD, Marcelli EA (1998) Achilles allograft reconstruction of a chronic patellar tendon rupture. Arthroscopy 14:340–344

    Article  CAS  PubMed  Google Scholar 

  18. Miskew DB, Pearson RL, Pankovich AM (1980) Mersilene strip suture in repair of disruptions of the quadriceps and patellar tendons. J Trauma 20:867–872

    Article  CAS  PubMed  Google Scholar 

  19. Morgan J, McCarty DJ (1974) Tendon ruptures in patients with systemic lupus erythematosus treated with corticosteroids. Arthritis Rheum 17:1033–1036

    Article  CAS  PubMed  Google Scholar 

  20. N’Dow J, Brewster N, Maffulli N, Scotland TR (1995) Quasi-synchronous patellar tendon rupture. Bull Hosp Jt Dis 54:46–48

    PubMed  Google Scholar 

  21. Palvolgyi R, Balint BJ, Jozsa L (1979) The Ehlers-Danlos syndrome causing lacerations in tendons and muscles. Arch Orthop Trauma Surg 95:173–176

    Article  CAS  PubMed  Google Scholar 

  22. Peiro A, Ferrandis R, Gracia I, Alcazar (1975) Simultaneous and spontaneous bilateral rupture of the patellar tendon in rheumatoid arthritis. A case report. Acta Orthop Scand 46:700–703

    Article  CAS  PubMed  Google Scholar 

  23. Steinmann B, Royce P, Superti-Furga A (1993) The Ehlers-Danlos Syndrome. In: Royce P, Steinmann B (eds) Connective tissue and its heritable disorders. Wiley-Liss, New York, pp 351–407

    Google Scholar 

  24. Sullivan RL (1986) Traumatic bilateral patellar tendon rupture with chronic renal disease. Wis Med J 85:12–13

    CAS  PubMed  Google Scholar 

  25. Van Glabbeek F, De Groof E, Boghemans J (1992) Bilateral patellar tendon rupture: case report and literature review. J Trauma 33:790–792

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicola Maffulli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Iacono, V., Cigala, F., Fazioli, F. et al. Reconstruction of chronic patellar tendon tear with allograft in a patient with Ehlers-Danlos syndrome. Knee Surg Sports Traumatol Arthrosc 18, 1116–1118 (2010). https://doi.org/10.1007/s00167-009-1022-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-009-1022-7

Keywords

Navigation