Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients

Belhaj, K.; Hyaoui, H. El; Tahir, Amine; Meftah, S.; Mahir, L.; Rafaoui, A.; Lmidmani, F.; Arsi, M.; Rahmi, M.; Rafai, M.A.; Garch, A.; Fadili, Mustapha; Nechad, Mohamed; Fatimi, A. El

doi:10.1016/j.rehab.2016.10.003

Cited by 27 publications

(50 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute patellar tendon ruptures are usually treated surgically, with primary repair using transosseous sutures2–7 or suture anchors 8–10. At our hospital, transosseous sutures are the preferred surgical method for both patellar tendon and distal quadriceps tendon ruptures.…”

Section: Discussionmentioning

confidence: 99%

“…Suture repairs are commonly augmented to avoid tendon repair failure, and to allow accelerated mobilisation 35. The augmentation can be performed with a cerclage wire,5 6 9 11–13 strong sutures,4 11 14 synthetic material3 15 or autologous grafts, such as semitendinosus tendon 7 14 16. Novel surgical techniques have been described with the use of suture button fixation,36 strong sutures only14 and a combination of different techniques 37.…”

Section: Discussionmentioning

confidence: 99%

“…It is the third most common injury of the extensor apparatus of the knee, after quadriceps tendon ruptures and patella fractures 1. Surgical treatment is primary repair with transosseous sutures2–7 or suture anchors 8–10. A reinforcement of the suture complex is commonly used with either a non-organic material, such as a cerclage wire,5 6 9 11–13 strong sutures,4 11 14 synthetic material3 15 or autologous grafts, such as semitendinosus tendon 7 14 16.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater

Tandberg

Grindem

Wiig³

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

A long track speed skater sustained a deep horizontal cut to the right knee just distally to the patella, after he got hit by the skate blade of the pair mate. The injury included a complete patellar tendon rupture from the apex of the patella, a 1 mm deep transverse cut in the femoral condyle and a partial rupture of the anterior cruciate ligament. The tendon rupture was repaired with transosseous suture repair without augmentation. A knee brace was used for 8 weeks, with a gradual decrease in flexion restraints. A rehabilitation programme was overseen by a dedicated physiotherapist. At 6 months, he started a gradual return to skating sessions. After 1 year, he had symmetrical single-legged hop performance, but quadriceps weakness due to pain. The patient returned to competition speed skating at national levels after 11 months, and within the first postoperative year, he was breaking new personal records on the ice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater

Tandberg

Grindem

Wiig³

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Given the sparsity of this injury and reconstructive surgery, there have been few reports on postoperative strength or biomechanical testing despite positive patient outcomes from clinical and subjective measures. 3 , 8 , 9 , 14 , 20 Maffulli et al. 3 reported decreased strength postoperatively in patients who underwent KEMR at follow-up with reduced thigh muscle volume; however, the authors only assessed isometric strength to failure.…”

mentioning

confidence: 99%

Clinical and Biomechanical Outcomes following Knee Extensor Mechanism Reconstruction

Akpinar

Baron

Alaia

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

Purpose To evaluate clinical and biomechanical outcomes after knee extensor mechanism reconstruction (KEMR). Methods Patients who underwent KEMR at our institution from 2011 to 2018 were identified. Patient-reported outcomes (Kujala, Lysholm, Tegner Activity Scale) were compiled at clinical follow-up. Isokinetic testing was conducted using the BioDex system 4 pro dynamometer at slow (60°/s), intermediate (180°/s), and fast (300°/s) speeds in a 9-patient subset. Results From 2011 to 2018, 12 patients (12 knees, 10 male, 5 right, mean age: 54.3 ± standard deviation: 15.2 years) with KEM injuries requiring tendon reconstruction with a 1-year minimum follow up were identified. Postoperative follow-up was 42.6 months (range: 12.0-93.0 months). Procedures included patellar (7) and quadriceps tendon reconstruction (5). Postoperative versus preoperative Tegner Activity Scale scores demonstrated significant improvement (3.5 ± 2.5 vs 1.5 ± 1.2, n = 8, P = .05). Postoperative versus preoperative Kujala scores significantly improved (70.3 ± 11.7 vs 43.6 ± 15.7, n = 8, P = .010). There was significant improvement in preoperative to postoperative KEMR extension lag (29.4 ± 22.2° vs 0.83 ± 1.9°, P = .002). Clinically, there was no difference in passive range of motion between the operative and contralateral knee. BioDex testing demonstrated decreased maximum work generated from the operative versus contralateral knee at slow (70.4 ± 30.4 Joules vs 101.9 ± 40.6 J; P = .028), intermediate (52.0 ± 45.4 J vs 69.8 ± 63.7 J; P = .038), and fast (43.8 ± 41.7 J vs 57.5 ± 53.8 J; P = .050) speeds. Range of motion was less in the operative versus contralateral knee at all speeds: P = .011, .038, and .024. The average peak torque generated per body weight was smaller in the operative versus contralateral knee at slow speed ( P = .038). Conclusions Patients undergoing KEMR in this study have significantly improved clinical outcomes despite having strength deficits that persist postoperatively. Level of Evidence Therapeutic Case Series, Level IV.

show abstract

“… 1 Therefore, surgical treatment is the gold standard for chronic patellar tendon rupture. Although good clinical results of surgical repair for acute patellar tendon rupture have been reported, 2 the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. 3 , 4 Some surgical options have been previously reported.…”

mentioning

confidence: 99%

Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture

Harato

Kobayashi

Udagawa

et al. 2017

Arthroscopy Techniques

View full text Add to dashboard Cite

Although surgical treatment is the gold standard for chronic patellar tendon rupture, the technique of patellar tendon reconstruction is still difficult. Basically, good clinical results of surgical repair for acute patellar tendon rupture have been reported. However, the results of reconstructive surgery for chronic patellar tendon rupture are still inconsistent. Some surgical options have been previously reported. For example, surgeons need to choose between 1- and 2-stage reconstruction. Furthermore, contralateral bone-tendon-bone graft, ipsilateral semitendinosus tendon graft, Achilles tendon allograft, and an artificial ligament have been used to reconstruct the patellar tendon. Generally, surgeons are concerned about postoperative complications, including loss of knee flexion, quadriceps weakness, and wound problems. One of the key points to avoid these complications is to improve proximal patellar migration. The purpose of this article is to present an easy and safe technique to bring down the patellar height with polyethylene tape and to reconstruct the patellar tendon with an artificial ligament. Although it has limitations, the described technique can facilitate reconstruction of chronic patellar tendon rupture.

show abstract

Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients

Abstract: Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus.

Cited by 27 publications

References 33 publications

Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater

Knee sliced open by skate blade: complete patellar tendon rupture in an elite long track speed skater

Clinical and Biomechanical Outcomes following Knee Extensor Mechanism Reconstruction

Surgical Technique to Bring Down the Patellar Height and to Reconstruct the Tendon for Chronic Patellar Tendon Rupture

Contact Info

Product

Resources

About