Simultaneous Rupture of Patella Tendon with Tibial Tubercle Avulsion Fracture, Anterior Cruciate Ligament Avulsion Fracture of the Tibial Spine in a Skeletally Mature Patient: A Case Report

McMains, M. Craig; Virk, Sohrab; Fisk, Erica; Fajolu, Olukemi; Flanigan, David C.

doi:10.17140/semoj-1-104

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…The Cybex measurements of peak torque showed that the deficit in knee extension was similar to that of knee flexion, suggesting that a proportion of the loss of strength is due to lack of focused physiotherapy input which was corrected. This recovery of muscle strength compares well to the 40% deficit noted after treatment of a similar injury reported in literature [7] . Early, considered physiotherapy is a vital component of management.…”

Section: Discussionsupporting

confidence: 87%

“…Alternatively, the tibial tubercle can be reduced and held with a screw and the tendon then sutured into the periosteum of the tibia [4] . Bone anchors have been used to attach the tendon around the tubercle [7] , however we feel this would not provide the same security to the fixation without a box stitch passed through proximal extensor mechanism. An alternative is Kirschner wires to hold the tuberosity fragment, which are removed after several weeks of adequate bone healing [6] .…”

Section: Discussionmentioning

confidence: 99%

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An Alternative Technique for Repair of Patellar Ligament Ruptures with Associated Tibial Tuberosity Avulsion Fracture

Pendse

Bruce

Chennagiri

et al. 2016

International Journal of Orthopaedics

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We describe a case report of a patient who suffered dual injury to the patellar tendon insertion treated with an alternative technique for the repair of patellar ligament rupture with concomitant tibial tuberosity avulsion. These injuries are rare and there is no uniform technique, described to deal with this complex injury. In this report we describe an alternative technique which provides with secure fixation of the tendon allowing for early rehabilitation. It is simple and reproducible yet provides a robust fixation of the tendon injury allowing to restore the normal anatomical parameters. This technique avoids the need for neutralization box stitch to be passed through the quadriceps tendon, avoiding violation of intact tissue and large surgical wounds. To our knowledge, this method has not been previously described.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

An Alternative Technique for Repair of Patellar Ligament Ruptures with Associated Tibial Tuberosity Avulsion Fracture

Pendse

Bruce

Chennagiri

et al. 2016

International Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

“… 1 , 2 Single-row suture anchor repair techniques have also been reported. 17 However, the strength of these repairs has likewise been questioned, and augmentation with cerclage is commonly recommended. 3 The use of graft augmentation carries associated concerns such as autograft harvest–site pain and infection and graft failure with allografts.…”

Section: Discussionmentioning

confidence: 99%