Surgical Treatment for Chronic Rupture of the Patellar Tendon Performed in 2 Stages

AbstractThe main aim of this case report is to thoroughly describe the steps of diagnosis and treatment in the rare incidence of patellar tendon gouty tophus. The case of a 53-year-old man manual worker who was treated with open excision of the lesion, following failure of extended medical treatment with rheumatological input, is presented. Surgical treatment led to full restoration of the patient's knee function. Open or arthroscopic surgery is a viable option for the unusual case of intratendinous patellar gouty deposition if the patient fails medical management. Medical treatment should still be the mainstay.

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Surgical Treatment of Chronic Rupture of the Quadriceps Using a Modified Pulvertaft Weave Technique

Arthroscopy Techniques ◽

10.1016/j.eats.2019.06.006 ◽

2019 ◽

Vol 8 (10) ◽

pp. e1163-e1169

Author(s):

José Leonardo Rocha de Faria ◽

Murilo Barroso de Matos ◽

Hugo Alexandre de Araújo Barros Cobra ◽

Naasson Cavanellas ◽

Eduardo Branco de Sousa ◽

...

Keyword(s):

Surgical Treatment ◽

Chronic Rupture

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Surgical treatment of patellar tendon pain in athletes.

British Journal of Sports Medicine ◽

10.1136/bjsm.20.4.167 ◽

1986 ◽

Vol 20 (4) ◽

pp. 167-169 ◽

Cited By ~ 35

Author(s):

S Orava ◽

L Osterback ◽

M Hurme

Keyword(s):

Surgical Treatment ◽

Patellar Tendon

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Surgical Treatment of Chronic Patellar Tendon Rupture: A Case Series Study

Trauma Monthly ◽

10.5812/traumamon.59259 ◽

2018 ◽

Vol 23 (2) ◽

Author(s):

Mahmoud Jabalameli ◽

Abolfazl Bagherifard ◽

Hosseinali Hadi ◽

Mohammad Mujeb Mohseni ◽

Amin Yoosefzadeh ◽

...

Keyword(s):

Surgical Treatment ◽

Patellar Tendon ◽

Tendon Rupture ◽

Case Series ◽

Patellar Tendon Rupture ◽

Case Series Study ◽

Series Study

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Patellar tendon rupture - treatment results

Medicinski pregled ◽

10.2298/mpns1502022k ◽

2015 ◽

Vol 68 (1-2) ◽

pp. 22-28 ◽

Cited By ~ 5

Author(s):

Nemanja Kovacev ◽

Jelena Antic ◽

Nemanja Gvozdenovic ◽

Mirko Obradovic ◽

Miodrag Vranjes ◽

...

Keyword(s):

Risk Factors ◽

Surgical Treatment ◽

Knee Joint ◽

Patellar Tendon ◽

Tendon Rupture ◽

Lysholm Score ◽

Patellar Tendon Rupture ◽

Treatment Results ◽

Timely Diagnosis ◽

Significant Difference

Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective tenyear study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p=0.0197 p<0.05) was found in the average values of the Lysholm score between the group of patients with risk factors (71.78) and the subjects without risk factors (92.18). A statistically significant difference (p=0.008 p<0.01) was found in the Lysholm score between the patients with timely diagnosis (91.62) and cases of chronic tendon tear (67). Conclusion. Timely diagnosis and early surgical reparation are the basic imperatives in the treatment of this injury. Comorbidity and risk factors are related to a poorer postoperative Lysholm score. The method of choice is early surgical treatment.

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Acute traumatic patellar tendon rupture: Early and late results of surgical treatment of 38 cases

Orthopaedics & Traumatology Surgery & Research ◽

10.1016/j.otsr.2014.12.017 ◽

2015 ◽

Vol 101 (3) ◽

pp. 307-311 ◽

Cited By ~ 18

Author(s):

A. Roudet ◽

M. Boudissa ◽

C. Chaussard ◽

B. Rubens-Duval ◽

D. Saragaglia

Keyword(s):

Surgical Treatment ◽

Patellar Tendon ◽

Tendon Rupture ◽

Late Results ◽

Patellar Tendon Rupture ◽

Early And Late Results

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Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

Case Reports in Orthopedics ◽

10.1155/2017/2537028 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5

Author(s):

Shuichi Miyamoto ◽

Makoto Otsuka ◽

Fumio Hasue ◽

Takayuki Fujiyoshi ◽

Koushirou Kamiya ◽

...

Keyword(s):

Stainless Steel ◽

Surgical Treatment ◽

Patellar Tendon ◽

Tendon Rupture ◽

Avulsion Fracture ◽

Tibial Tuberosity ◽

Traumatic Rupture ◽

Patellar Tendon Rupture ◽

Steel Wires

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.

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