Result of delayed repair of quadriceps muscle following a sharp cut injury

Abstract

We herewith report a case of a 22-year-old man who suffered from a transverse laceration of the quadriceps muscle. The patient presented to us after 3 months of the injury with an inability to extend the knee. We undertook a surgical repair of the muscle tear using the modified Mason-Allen technique and a polypropylene mesh augmentation. To the best of our knowledge, the use of polypropylene mesh for repair augmentation of mid-substance tear of quadriceps muscle has never been described in the literature. The patient had achieved a full active knee extension at 9 months following the surgery. At 3 years of follow-up, the patient has maintained the movements and strength of the knee. He has no functional limitations and is satisfied with the outcome. Thus, the middle term results are good and the treatment is promising.

Traumatic Mid-substance Isolated Vastus Medialis Rupture in a Young Athlete

“…The various suturing techniques for surgical primary muscle repair may have less predictable outcomes and are at risk of suture failure requiring further interventions 6-12 . Cases have reported promising results using mesh to augment surgical repair; however, there is a requirement for further studies before widespread implementation can be supported 23 . With these options, surgeons must weigh the potential risk of diminished strength and follow-up injuries with nonoperative management vs. risk of failure with surgical management requiring further interventions, which could yield similar diminished strength and future risks.…”

Chronic Quadricep Tendon Rupture Reconstruction with Poly-Tape and Achilles’ Tendon Allograft: A Case Report and Review of the Literature

“…Partial muscle or tendon tears that lack chronic pain and with no significant functional deficit are predominantly managed nonoperatively. However, a complete rupture can have detrimental effects on the patient’s quality of life, so most surgeons would advise taking an operative route [ 6 ]. Chronic quadriceps tendon rupture repairs have relatively poor outcomes, with high re-rupture rates and levels of postoperative infection.…”