The Use of Suture Anchors to Repair the Ruptured Quadriceps Tendon

Bushnell, Brandon D.; Whitener, George; Rubright, James H.; Creighton, R. Alexander; Logel, Kevin J.; Wood, Mark

doi:10.1097/bot.0b013e31806dd93b

Cited by 38 publications

(26 citation statements)

References 33 publications

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“…Hart investigated biomechanical differences between trans-osseous equivalent double-row suture anchor and trans-osseous tunnel repair: he reported that both were effective in terms of strength, repair stiffness and gap formation with similar results, but the transosseous repairs were stronger 28 . Lighthart et al found no significant differences in terms of displacement after 1000 cycles, adding that suture anchors are more expensive but, as confirmed also by Richards et al 24 , Maniscalco et al 25 and Bushnell et al 26 , allow a smaller skin incision and reduce operative times 29 . For delayed repair and re-ruptures are suggested Scuderi technique 4 to reinforce and Codivilla technique to lengthen the tendon.…”

Section: Quadriceps Tendon Tear Rupture In Healthy Patients Treated Wmentioning

confidence: 87%

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Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: clinical and ultrasonographic analysis after 36 months of follow-up

Verdano

Zanelli

Aliani

et al. 2014

MLTJ

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SummaryBackground: quadriceps tendon subcutaneous rupture is an uncommon injury affecting predominantly middle-aged men as a result of direct or indirect trauma; aim of this work is to evaluate clinical outcome and tendon morphology in patients treated surgically with transpatellar drilling suture. Methods: 20 patients (20 male) with an average age of 54 (42-59) were evaluated with a mean follow-up of 36 months. Measurements of range of motion (ROM) and of tight circumference were collected. Lysholm and Rougraff Score were also performed. All the patients underwent a US evaluation the morphologic changes of the repaired tendon. Results: mean active ROM was 1°-117°; average difference in the circumference of the quadriceps was 2.6% 10 C and 3.3% 15 C. The mean Lysholm Score calculated was 88/100; the mean Rougraff Score 17/25. At ultrasonographic evaluation all tendons were continuous; heterotopic ossification was present in 18 quadriceps tendons. Thickness was augmented in 18 quadriceps tendons and in 5 patellar tendons. Vascularization was always conserved. Lateral subluxation of patella was reported in 1 case. Conclusions: patellar drilling holes repair is a nondemanding procedure, inexpensive and technically uncomplicated. US evaluation confirms tendon healing; tendon remodeling does not affect patient's clinical outcome and quality of life. Level of incidence: IV

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Section: Quadriceps Tendon Tear Rupture In Healthy Patients Treated Wmentioning

confidence: 87%

“…Anchors repair has recently been described by different authors [24][25][26] . Biomechanical studies were performed and showed no significant difference between anchor repair and patellar drilling holes technique 27 .…”

Section: Quadriceps Tendon Tear Rupture In Healthy Patients Treated Wmentioning

confidence: 99%

Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: clinical and ultrasonographic analysis after 36 months of follow-up

Verdano

Zanelli

Aliani

et al. 2014

MLTJ

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“…Surgical repair is widely recommended for cases of complete rupture to prevent long term functional impairment [3,4,5,8,11-13]. Partial ruptures are those that do not involve the whole tendon mass and there is less consensus regarding the management of these tears.…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally used surgical repair techniques have included direct suture repair; using drilled suture tunnels in the patella; the Scuderi technique for augmentation of direct repairs and the Codivilla lengthening technique used in shortened chronic tears [4,5,8]. More recently, fixation of the tendon with suture anchors on the patella combined with soft tissue reinforcement has been used with good results [11,13]. We chose to use suture anchors pre-loaded with Orthocord because being partially absorbable it would provide prolonged support to the tendon repair which would have to resist high volume dynamic loading as our patient recommenced training.…”

Section: Discussionmentioning

confidence: 99%

Isolated avulsion of the vastus lateralis tendon insertion in a weightlifter: a case report

Phadnis

Trikha

Wood

2009

Cases J

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IntroductionWe report a case of isolated, unilateral avulsion of the vastus lateralis tendon from its insertion at the patella. This was diagnosed by magnetic resonance imaging, and underwent successful surgical repair.Case presentationA healthy 32-year-old national level power lifter presented with an isolated avulsion of the vastus lateralis tendon. After a failed course of conservative therapy he underwent surgical repair and a graded physical therapy programme. One year later he returned to full training with no evidence of re-rupture.ConclusionThis is the first reported case of an isolated vastus lateralis avulsion. Our experience suggests that magnetic resonance imaging is invaluable in the diagnosis of this condition and that surgical repair provides a good outcome in high demand patients.

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“…Of those partial tears, 7 were off the superior pole of the patella, 1 from the vastus medialis, 1 from the rectus femoris, and 1 was a midsubstance tear ( Table 2). Of the 9 complete tears, 6 were from the superior pole of the patella, 2 from the vastus medialis, and 1 was a midsubstance ( Table 2) The QT was repaired in two main methods, suture Anchor or Trans-Osseous repair (ATO) 9 (1 anchor, 5 trans-osseous) and End to End (EE) (13 patients) [5,6]. Of the ATO repairs, 4 were complete tears, with only suture anchor repair being done on one of the two partial tears in this group ( Table 2).…”

Section: Surgical Findingsmentioning

confidence: 99%

Quadriceps Tendon Rupture Following Total Knee Arthroplasty

Heer¹,

O’Dowd²,

Butler³

et al. 2019

TOORTHJ

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Introduction: Rupture of a Quadriceps Tendon (QT) following a Total Knee Arthroplasty (TKA) is a rare complication. The purpose of this study was to report outcomes and complications of QT repair following TKA. Methods: From a cohort of 437 QT repairs, 19 individuals were identified who had previously undergone a TKA on the ipsilateral leg. Data was collected on individuals with a minimum follow up of 3 months post QT repair (n=16), including Knee Society Scores, pre and post-operative lag, and pre and post-operative range of motion. Results: 13 patients were treated with End-to-End (EE) repairs and 6 were treated with transosseous or suture anchor repair (ATO). In the ATO group, there was no difference in pre (68.0 ± 22.5) and post KSS (82 ± 9.16) (p=0.231), but in the EE group, there was a significant improvement in KSS (pre=67.8 ± 13.1, post=86 ± 16.75, p=0.0027). There was significant difference in post-operative extension lag between ATO (26.0 ± 12.6) vs. EE (4.0 ± 2.74) (p=0.0083). Four out of six ATO patients had extension lag ≥10 degree extensor lag (66.7%) compared to 2 out of 13 (15.4%) patients in the EE group. Compared to EE, ATO repair had an 8.00 times odds of re-tear (95% CI: 0.53,120.6; p=0.133) and 2.75 times greater risk of infection (95% CI: 0.284, 26.61; p=0.382). Conclusion: Patients who underwent EE repair had better functional improvements compared to the ATO group and smaller extension lag.

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The Use of Suture Anchors to Repair the Ruptured Quadriceps Tendon

Cited by 38 publications

References 33 publications

Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: clinical and ultrasonographic analysis after 36 months of follow-up

Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: clinical and ultrasonographic analysis after 36 months of follow-up

Isolated avulsion of the vastus lateralis tendon insertion in a weightlifter: a case report

Quadriceps Tendon Rupture Following Total Knee Arthroplasty

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