Semitendinosus autograft augmentation after bilateral patellar tendon re-rupture: a case report and technique note.

Document Type

Article

Publication Date

3-21-2019

Publication Title

Eur J Orthop Surg Traumatol

Keywords

Autograft augmentation technique; Bilateral; Patella tendon rupture; Re-rupture

Abstract

BACKGROUND: Acute bilateral patellar tendon rupture is a rare occurrence, especially in young patients in the absence of comorbidities. We describe a case of bilateral patellar tendon re-rupture in a young patient without predisposing factors. Further, we explain a technique for autograft augmented patellar tendon repair with bidirectional fixation using an ipsilateral semitendinosus graft in transosseous patellar and tibia bone tunnels.

CASE PRESENTATION: We present the case of a 40-year-old healthy worker with bilateral acute on chronic patellar tendon rupture maintained following initial trauma and Krackow repair 2 years ago. He underwent bilateral reconstruction using semitendinosus autograft. At 1 year postoperatively, he has maintained the full range of motion and strength without re-rupture.

CONCLUSION: This is the first case describing a new fixation technique after bilateral patellar tendon re-rupture. The use of semitendinosus autograft for reconstruction of the patellar tendon after re-rupture is a viable and effective option.

Clinical Institute

Orthopedics & Sports Medicine

Department

Orthopedics

Department

Surgery

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