Journal ID : CJOHNS-01-04-2024-11432
[This article belongs to Volume - 55, Issue - 04]

Title : Surgical Reconstruction of Chronic Quadriceps Tendon Rupture: A Case Report

Abstract :

An infrequent occurrence of quadriceps tendon rupture often arises from a forceful eccentric contraction of the quadriceps muscle. A chronic quadriceps tendon rupture can cause permanent impairment of the knee extension mechanism. It remains clinically challenging to restore patient mobility and function. This study aims to report an unusual combination of surgical treatment of chronic quadriceps tendon rupture using a modified pulvertaft weave technique and suture anchors. A 54-year-old man complained that his left knee had been difficult to straighten for 2 months, and he had a previous history of falling from 50 cm high stairs 7 months ago, but he could still walk. There was a visible gap 3 cm above the patella and a limitation of knee extension. An MRI without contrast showed a high-grade tear of the quadriceps tendon. The patient was treated with surgical treatment using the Pulvertaft weave technique and suture anchor fixation. After 3 months, the patient showed excellent results. Quadriceps tendon rupture often occurs at the myotendinous junction, which is the point where the tendon and muscle unite. The quadriceps tendon repair procedure known as the pulvertaft weave technique involves the utilization of a semitendinosus tendon autograft. This autograft is then sutured to the patella using transosseous sutures, followed by adding a suture anchor to secure the tendon to the superior pole of the patella. The pulvertaft weaving technique and anchor offer a potential alternative to conventional late repair of quadriceps tendon ruptures.

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