Reconstruction of patellar tendon rupture after anterior cruciate ligament reconstruction: A case report

Abstract Patellar tendon rupture following use of its central third for anterior cruciate ligament (ACL) reconstruction is a rare disabling injury that is technically difficult to repair. We report one case of patellar tendon rupture after harvesting the mid-third for ACL reconstruction. A number of...

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Bibliographic Details
Published in:The knee 2008-10, Vol.15 (5), p.419-422
Main Authors: Miroslav, Milankov Ziva, Robert, Semnic, Natasa, Miljković, Vladimir, Harhaji
Format: Article
Language:English
Subjects:
Adult
Allograft
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Anterior cruciate ligament reconstruction
Complication
Humans
Knee Injuries - diagnosis
Knee Injuries - surgery
Male
Orthopedics
Patellar Ligament - injuries
Patellar Ligament - surgery
Patellar tendon rupture
Reconstructive Surgical Procedures - adverse effects
Reoperation
Rupture
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Summary:Abstract Patellar tendon rupture following use of its central third for anterior cruciate ligament (ACL) reconstruction is a rare disabling injury that is technically difficult to repair. We report one case of patellar tendon rupture after harvesting the mid-third for ACL reconstruction. A number of different surgical methods exist for reconstructing patellar tendon ruptures. Here we report a case using a bone–tendon–bone (BTB) allograft, followed by a multiple-wire loop reinforcement with no postoperative immobilisation. One year after operation, our patient had regained full knee extension and flexion. Insall Salvati index on the operated side was identical to the uninjured side. The patient had good quadriceps strength, and isokinetic muscle testing showed no deficit in his right leg. He was able to return to professional handball without limitation.
ISSN:0968-0160
1873-5800
DOI:10.1016/j.knee.2008.05.009