scholarly journals Arthroscopic Quadriceps Tendon Repair: Two Case Reports

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Hidetomo Saito ◽  
Yoichi Shimada ◽  
Toshiaki Yamamura ◽  
Shin Yamada ◽  
Takahiro Sato ◽  
...  
Keyword(s):  
Suture Anchor ◽  
Case Reports ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Tendon Injury ◽  
Arthroscopic Repair ◽  
Pull Out ◽  
One Year ◽  
Bone Tunnels ◽  
Pull Out Suture

Recently, although some studies of open repair of the tendon of the quadriceps femoris have been published, there have been no reports in the literature on primary arthroscopic repair. In our present study, we present two cases of quadriceps tendon injury arthroscopically repaired with excellent results. Case 1 involved a 68-year-old man who was injured while shifting his weight to prevent a fall. MRI showed complete rupture at the insertion of the patella of the quadriceps tendon. The rupture was arthroscopically repaired using both suture anchor and pull-out suture fixation methods via bone tunnels (hereafter, pull-out fixation). Two years after surgery, retearing was not observed on MRI and both Japan Orthopedic Association (JOA) Knee and Lysholm scores had recovered to 100. Case 2 involved a 50-year-old man who was also injured when shifting his weight to prevent a fall. MRI showed incomplete superficial rupture at the insertion of the patella of the quadriceps tendon. The rupture was arthroscopically repaired using pull-out fixation of six strand sutures. One year after surgery, MRI revealed a healed tendon and his JOA and Lysholm scores were 95 and 100, respectively. Thus, arthroscopic repair may be a useful surgical method for repairing quadriceps tendon injury.

scholarly journals Ipsilateral Rupture of Quadriceps Tendon with Distal Tibia Fracture: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Samik Banerjee ◽  
Timothy P. Dooley ◽  
James R. Parkinson
Keyword(s):  
English Literature ◽  
Distal Tibia ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Tibia Fracture ◽  
Traumatic Rupture ◽  
Distal Tibia Fracture ◽  
Intramedullary Rodding ◽  
High Index Of Suspicion ◽  
Bone Tunnels

Traumatic rupture of the quadriceps tendon by itself is not an uncommon clinical condition. However, its association with concurrent ipsilateral closed distal tibia oblique fracture is exceedingly rare with only one previously reported case in English literature. The dual diagnosis of this atypical combination of injury may be masked by pain and immobilization of the more obvious fracture and may be missed, unless the treating physician maintains a high index of suspicion. Suprapatellar knee pain with or without a palpable gap in the quadriceps tendon and inability to straight leg raise in the setting of a distal tibia fracture should raise concern, but if initial treatment employs a long-leg splint the knee symptoms may be muted. In this report, we describe this unusual combination of injury in a 67-year-old male patient who sustained a trivial twisting injury to the leg. The aim of this report is to raise awareness and emphasize the importance of thorough and repeated clinical examinations in the presence of distracting injuries. Despite the complexity of the problem, standard techniques for quadriceps tendon repair using transpatellar bone tunnels following locked intramedullary rodding of the tibia fracture may lead to optimal outcomes.

Biomechanical Evaluation of Suture Anchor Versus Transosseous Tunnel Quadriceps Tendon Repair Techniques

2016 ◽  
Vol 32 (6) ◽  
pp. 1117-1124 ◽  
Author(s):  
Seth L. Sherman ◽  
Marilyn E. Copeland ◽  
Jeffrey L. Milles ◽  
David A. Flood ◽  
Ferris M. Pfeiffer
Keyword(s):  
Suture Anchor ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Biomechanical Evaluation ◽  
Repair Techniques

Repair Technique Using a Combination of Suture Anchor and Miniscrew in Flexor Digitorum Profundus Bony Avulsion Fracture with Bone Fragment in Zone 1

2018 ◽  
Vol 23 (03) ◽  
pp. 430-436
Author(s):  
Jae-Hwi Nho ◽  
Sang-Woo Lee ◽  
Mi-Ae Nam ◽  
Byung-Sung Kim ◽  
Ki Jin Jung
Keyword(s):  
Suture Anchor ◽  
Avulsion Fracture ◽  
Flexor Tendon ◽  
Tendon Injuries ◽  
Flexor Digitorum Profundus ◽  
Rare Injury ◽  
Pull Out ◽  
Bony Avulsion ◽  
Flexor Tendon Injuries ◽  
Pull Out Suture

Avulsion fracture of the volar base of the distal phalanx is a rare injury. Zone 1 flexor tendon injuries can be treated with either internal or external fixation techniques. Pull-out suture repairs are often used for FDP tendon avulsion injuries. However, the pull out suture technique is associated with a number of well documented complications including nail bed injury and pressure necrosis. Despite the variety of techniques available for the repair of acute distal zone 1 flexor tendon injuries, no one technique has proven to be superior to all others. We address our experience with treatment of FDP avulsion injuries using suture anchor and miniscrew. Our technique supplements the suture anchor technique, which often causes a lack of strength, with an additional miniscrew. We introduce two cases of combined method using both suture anchor and miniscrew for treatment of FDP avulsion injuries.

Functional outcomes of distal triceps tendon repair comparing transosseous bone tunnels with suture anchor constructs

2017 ◽  
Vol 26 (12) ◽  
pp. 2213-2219 ◽  
Author(s):  
John G. Horneff ◽  
Alexander Aleem ◽  
Thema Nicholson ◽  
Gregory Lervick ◽  
Anand Murthi ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Suture Anchor ◽  
Tendon Repair ◽  
Bone Tunnels ◽  
Triceps Tendon

scholarly journals Adjustable Cortical Fixation Device for Quadriceps Tendon Repair: A Cadaveric Biomechanical Study

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097439
Author(s):  
Heath P. Gould ◽  
William R. Rate ◽  
Pooyan Abbasi ◽  
Katherine L. Mistretta ◽  
Jason W. Hammond
Keyword(s):  
Cyclic Loading ◽  
Suture Anchor ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Fixation Device ◽  
Peak Displacement ◽  
Anchor Group ◽  
Fixation Group ◽  
The Mean ◽  
Suture Anchor Repair

Background: Adjustable cortical fixation devices have demonstrated utility in orthopaedic applications, such as ankle syndesmosis repair. Purpose: To assess the cyclic gap formation of a quadriceps tendon repair technique using an adjustable cortical fixation device compared with repair with knotless suture anchors and suture tape, a modification of conventional suture anchor repair. Study Design: Controlled laboratory study. Methods: Eight fresh-frozen matched pairs of cadaveric knees were used. Specimens in each pair were randomized to undergo either modified suture anchor repair (control) or adjustable cortical fixation repair. The control repair was performed as previously described. The experimental repair was performed using 2 No. 2 FiberWire sutures placed into the quadriceps tendon in a running locked Krackow configuration and 2 adjustable loop devices passed through transosseous tunnels. The lagging strands of the devices were tensioned to seat the cortical fixation buttons at the inferior patellar pole and then tied to the free Krackow strands at the superior pole to complete the repair. The mean plastic gap (permanent tendon displacement that did not recover with cyclic extension) and mean maximum gap (peak displacement that occurred with cyclic knee flexion and partially recovered with extension) were evaluated during cyclic loading for 500 cycles of full knee extension to 90° of flexion. Results: At all testing intervals, the mean plastic gap was significantly smaller for the cortical fixation group versus the suture anchor group ( P < .02). Similarly, the mean maximum gap was significantly smaller for the cortical fixation specimens at all testing intervals ( P < .01). After cyclic loading, the mean maximum gap was significantly smaller in the cortical fixation group (4.80 ± 1.56 mm) versus the suture anchor group (8.47 ± 1.47 mm; P = < .001). The mean plastic gap was also significantly smaller in the cortical fixation versus the suture anchor group (3.25 ± 1.10 mm vs 6.57 ± 1.62 mm, respectively; P = < .001). Conclusion: Quadriceps tendon repair using an adjustable cortical fixation device demonstrated superior biomechanical properties in cyclic displacement testing compared with repair using the suture anchor technique. Clinical Relevance: These results suggest that an adjustable cortical fixation device is a biomechanically viable alternative for quadriceps tendon repair.

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